23D2248992 CLIA NUMBER - CENTRAL PHARMACY M L K

Laboratory Demographics

  • CLIA Code: 23D2248992
  • Facility Name: CENTRAL PHARMACY M L K
  • Facility Address: 3500 S MARTIN LUTHER KING JR
    LANSING, MI
    ZIP 48910
  • Facility Phone: 517 574-5015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KURT HAMMOND
  • NPI Number: 1881249845
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2248992
LAB Type Pharmacy
Facility Name CENTRAL PHARMACY M L K
Street 3500 S MARTIN LUTHER KING JR
City LANSING
State MI
ZIP 48910
Phone 517 574-5015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Pharmacy
Lab Director KURT HAMMOND

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