23D2181943 CLIA NUMBER - MCBAIN FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2181943
  • Facility Name: MCBAIN FAMILY PHARMACY
  • Facility Address: 119 N ROLAND STREET
    MC BAIN, MI
    ZIP 49657
  • Facility Phone: 231 825-8175
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLAYTON J. GILDE
  • NPI Number: 1124636600
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2181943
LAB Type Pharmacy
Facility Name MCBAIN FAMILY PHARMACY
Street 119 N ROLAND STREET
City MC BAIN
State MI
ZIP 49657
Phone 231 825-8175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Pharmacy
Lab Director CLAYTON J. GILDE

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