23D2184078 CLIA NUMBER - ADVANCED HEALTH PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2184078
  • Facility Name: ADVANCED HEALTH PHARMACY
  • Facility Address: 7916 OAKLAND DRIVE
    PORTAGE, MI
    ZIP 49024
  • Facility Phone: 269 324-1100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARUN TANDON
  • NPI Number: 1386957207
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2184078
LAB Type Pharmacy
Facility Name ADVANCED HEALTH PHARMACY
Street 7916 OAKLAND DRIVE
City PORTAGE
State MI
ZIP 49024
Phone 269 324-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Pharmacy
Lab Director ARUN TANDON

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