23D2218607 CLIA NUMBER - CENTRAL PHARMACY WILLIAMSTON

Laboratory Demographics

  • CLIA Code: 23D2218607
  • Facility Name: CENTRAL PHARMACY WILLIAMSTON
  • Facility Address: 129 S PUTNAM ST
    WILLIAMSTON, MI
    ZIP 48895
  • Facility Phone: 517 992-5101
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA M. HART
  • NPI Number: 1184707176
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2218607
LAB Type Pharmacy
Facility Name CENTRAL PHARMACY WILLIAMSTON
Street 129 S PUTNAM ST
City WILLIAMSTON
State MI
ZIP 48895
Phone 517 992-5101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director AMANDA M. HART

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