23D2241473 CLIA NUMBER - PORTAGE PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 23D2241473
  • Facility Name: PORTAGE PHARMACY, INC
  • Facility Address: 7966 LOVERS LANE
    PORTAGE, MI
    ZIP 49002
  • Facility Phone: 269 327-0033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAWRENCE D. CURTIS
  • NPI Number: 1992735666
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2241473
LAB Type Pharmacy
Facility Name PORTAGE PHARMACY, INC
Street 7966 LOVERS LANE
City PORTAGE
State MI
ZIP 49002
Phone 269 327-0033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Pharmacy
Lab Director LAWRENCE D. CURTIS

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