23D2308474 CLIA NUMBER - ALLEGAN PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2308474
  • Facility Name: ALLEGAN PHARMACY
  • Facility Address: 551 LINN STREET SUITE 120
    ALLEGAN, MI
    ZIP 49010
  • Facility Phone: 269 673-4700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHAMED A. BEYDOUN
  • NPI Number: 1871641878
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2308474
LAB Type Pharmacy
Facility Name ALLEGAN PHARMACY
Street 551 LINN STREET SUITE 120
City ALLEGAN
State MI
ZIP 49010
Phone 269 673-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Pharmacy
Lab Director MOHAMED A. BEYDOUN

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