23D2084262 CLIA NUMBER - VG'S PHARMACY #1925

Laboratory Demographics

  • CLIA Code: 23D2084262
  • Facility Name: VG'S PHARMACY #1925
  • Facility Address: 710 S MILLER STREET
    CLIO, MI
    ZIP 48420
  • Facility Phone: 810 686-0004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY ELLIS
  • NPI Number: 1962647669
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2084262
LAB Type Pharmacy
Facility Name VG'S PHARMACY #1925
Street 710 S MILLER STREET
City CLIO
State MI
ZIP 48420
Phone 810 686-0004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Pharmacy
Lab Director AMY ELLIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025