23D2247279 CLIA NUMBER - BEECHER RD FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2247279
  • Facility Name: BEECHER RD FAMILY PHARMACY
  • Facility Address: G 3169 BEECHER ROAD SUITE 102
    FLINT, MI
    ZIP 48532
  • Facility Phone: 810 337-1121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ISAM TAHBOUB
  • NPI Number: 1134577273
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2247279
LAB Type Pharmacy
Facility Name BEECHER RD FAMILY PHARMACY
Street G 3169 BEECHER ROAD SUITE 102
City FLINT
State MI
ZIP 48532
Phone 810 337-1121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Pharmacy
Lab Director ISAM TAHBOUB

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