CLIA lab

CLIA 23D2158004: Fenton Pharmacy RX Mi LLC

Fenton, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 23D2158004 belongs to Fenton Pharmacy RX Mi LLC in Fenton, MI.

Certificate of Waiver, effective November 19, 2024, expires November 18, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
November 19, 2024
Certificate expiration
November 18, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 19, 2018
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
23D2158004
Lab name
Fenton Pharmacy RX Mi LLC
Address
305 N Leroy Street Suite A, Fenton, MI 48430
Phone
(810) 354-8500
Fax
(810) 354-8503

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Fenton, MI

Related

Questions

What is the CLIA number for Fenton Pharmacy RX Mi LLC in Fenton?

23D2158004, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fenton Pharmacy RX Mi LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2158004 expire?

The CMS file lists November 18, 2026 as the certificate expiration date; the certificate took effect November 19, 2024.

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