23D2310130 CLIA NUMBER - CAMPBELL PHARMACY 477

Laboratory Demographics

  • CLIA Code: 23D2310130
  • Facility Name: CAMPBELL PHARMACY 477
  • Facility Address: 102 S MAIN STREET
    PLAINWELL, MI
    ZIP 49080
  • Facility Phone: 269 685-6808
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANN BRADISH
  • NPI Number: 1538180542
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2310130
LAB Type Pharmacy
Facility Name CAMPBELL PHARMACY 477
Street 102 S MAIN STREET
City PLAINWELL
State MI
ZIP 49080
Phone 269 685-6808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Pharmacy
Lab Director JULIANN BRADISH

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