23D2183683 CLIA NUMBER - THE DRUG STORE INC

Laboratory Demographics

  • CLIA Code: 23D2183683
  • Facility Name: THE DRUG STORE INC
  • Facility Address: 2236 US 23 SOUTH
    ALPENA, MI
    ZIP 49707
  • Facility Phone: 989 354-2171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEITH A. MISIAK
  • NPI Number: 1336199025
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2183683
LAB Type Pharmacy
Facility Name THE DRUG STORE INC
Street 2236 US 23 SOUTH
City ALPENA
State MI
ZIP 49707
Phone 989 354-2171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Pharmacy
Lab Director KEITH A. MISIAK

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