23D2171206 CLIA NUMBER - GULL POINTE PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2171206
  • Facility Name: GULL POINTE PHARMACY
  • Facility Address: 5585 GULL ROAD SUITE 120
    KALAMAZOO, MI
    ZIP 49048
  • Facility Phone: 269 553-5000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL DABAJA
  • NPI Number: 1013012236
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2171206
LAB Type Pharmacy
Facility Name GULL POINTE PHARMACY
Street 5585 GULL ROAD SUITE 120
City KALAMAZOO
State MI
ZIP 49048
Phone 269 553-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Pharmacy
Lab Director MICHAEL DABAJA

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