23D2084431 CLIA NUMBER - FAMILY FARE PHARMACY #1990

Laboratory Demographics

  • CLIA Code: 23D2084431
  • Facility Name: FAMILY FARE PHARMACY #1990
  • Facility Address: 902 W STATE STREET
    HASTINGS, MI
    ZIP 49058
  • Facility Phone: 269 945-2466
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY ELLIS
  • NPI Number: 1194936682
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2084431
LAB Type Pharmacy
Facility Name FAMILY FARE PHARMACY #1990
Street 902 W STATE STREET
City HASTINGS
State MI
ZIP 49058
Phone 269 945-2466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Pharmacy
Lab Director AMY ELLIS

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This page was last updated on: 3/20/2025