23D2199643 CLIA NUMBER - KRONNER PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2199643
  • Facility Name: KRONNER PHARMACY
  • Facility Address: 778 W HOUGHTON LAKE DRIVE
    PRUDENVILLE, MI
    ZIP 48651
  • Facility Phone: 989 366-7611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW LUNDAHL
  • NPI Number: 1609976968
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2199643
LAB Type Pharmacy
Facility Name KRONNER PHARMACY
Street 778 W HOUGHTON LAKE DRIVE
City PRUDENVILLE
State MI
ZIP 48651
Phone 989 366-7611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Pharmacy
Lab Director ANDREW LUNDAHL

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