23D2134840 CLIA NUMBER - CENTRAL PHARMACY - OWOSSO, LLC

Laboratory Demographics

  • CLIA Code: 23D2134840
  • Facility Name: CENTRAL PHARMACY - OWOSSO, LLC
  • Facility Address: 111 N WASHINGTON STREET
    OWOSSO, MI
    ZIP 48867
  • Facility Phone: 989 725-1344
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID M. LARNER
  • NPI Number: 1518468776
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2134840
LAB Type Pharmacy
Facility Name CENTRAL PHARMACY - OWOSSO, LLC
Street 111 N WASHINGTON STREET
City OWOSSO
State MI
ZIP 48867
Phone 989 725-1344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director DAVID M. LARNER

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