23D2206491 CLIA NUMBER - SDS PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2206491
  • Facility Name: SDS PHARMACY
  • Facility Address: 25 S MAIN STREET
    YALE, MI
    ZIP 48097
  • Facility Phone: 810 387-4244
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABBY M. BRANCACCIO
  • NPI Number: 1093823452
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2206491
LAB Type Pharmacy
Facility Name SDS PHARMACY
Street 25 S MAIN STREET
City YALE
State MI
ZIP 48097
Phone 810 387-4244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Pharmacy
Lab Director ABBY M. BRANCACCIO

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