23D2199094 CLIA NUMBER - BUNTE'S PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2199094
  • Facility Name: BUNTE'S PHARMACY
  • Facility Address: 115 E MAIN AVENUE
    ZEELAND, MI
    ZIP 49464
  • Facility Phone: 616 772-4685
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA A. DIEPHOUSE
  • NPI Number: 1376096552
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2199094
LAB Type Pharmacy
Facility Name BUNTE'S PHARMACY
Street 115 E MAIN AVENUE
City ZEELAND
State MI
ZIP 49464
Phone 616 772-4685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Pharmacy
Lab Director LISA A. DIEPHOUSE

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