23D2200915 CLIA NUMBER - MILLINGTON PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2200915
  • Facility Name: MILLINGTON PHARMACY
  • Facility Address: 4729 MAIN STREET
    MILLINGTON, MI
    ZIP 48746
  • Facility Phone: 989 871-2820
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS E. DUESBOUT II
  • NPI Number: 1043620479
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2200915
LAB Type Pharmacy
Facility Name MILLINGTON PHARMACY
Street 4729 MAIN STREET
City MILLINGTON
State MI
ZIP 48746
Phone 989 871-2820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Pharmacy
Lab Director THOMAS E. DUESBOUT II

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