23D2250910 CLIA NUMBER - ARDIS PHARMA LLC

Laboratory Demographics

  • CLIA Code: 23D2250910
  • Facility Name: ARDIS PHARMA LLC
  • Facility Address: 8822 PORTAGE ROAD
    PORTAGE, MI
    ZIP 49002
  • Facility Phone: 269 327-3049
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMARSENA R. SAPPIDI
  • NPI Number: 1982376497
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2250910
LAB Type Pharmacy
Facility Name ARDIS PHARMA LLC
Street 8822 PORTAGE ROAD
City PORTAGE
State MI
ZIP 49002
Phone 269 327-3049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Pharmacy
Lab Director AMARSENA R. SAPPIDI

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