23D2237067 CLIA NUMBER - BIG BROTHERS PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2237067
  • Facility Name: BIG BROTHERS PHARMACY
  • Facility Address: 4801 FENTON ROAD
    FLINT, MI
    ZIP 48507
  • Facility Phone: 810 820-8685
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEHULKUMAR V. SUREJA
  • NPI Number: 1851961502
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2237067
LAB Type Pharmacy
Facility Name BIG BROTHERS PHARMACY
Street 4801 FENTON ROAD
City FLINT
State MI
ZIP 48507
Phone 810 820-8685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Pharmacy
Lab Director MEHULKUMAR V. SUREJA

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