23D2195687 CLIA NUMBER - THREE RIVERS PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2195687
  • Facility Name: THREE RIVERS PHARMACY
  • Facility Address: 757 S US HIGHWAY 131
    THREE RIVERS, MI
    ZIP 49093
  • Facility Phone: 269 278-6000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUNIL H. PATEL
  • NPI Number: 1689195497
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2195687
LAB Type Pharmacy
Facility Name THREE RIVERS PHARMACY
Street 757 S US HIGHWAY 131
City THREE RIVERS
State MI
ZIP 49093
Phone 269 278-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Pharmacy
Lab Director SUNIL H. PATEL

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