23D2252109 CLIA NUMBER - OMEGA PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 23D2252109
  • Facility Name: OMEGA PHARMACY LLC
  • Facility Address: 420 W HURON STREET
    PONTIAC, MI
    ZIP 48341
  • Facility Phone: 248 481-9004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AYODEJI ABEJIDE
  • NPI Number: 1114290582
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2252109
LAB Type Pharmacy
Facility Name OMEGA PHARMACY LLC
Street 420 W HURON STREET
City PONTIAC
State MI
ZIP 48341
Phone 248 481-9004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Pharmacy
Lab Director AYODEJI ABEJIDE

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