23D0650487 CLIA NUMBER - ASCENSION AT HOME

Laboratory Demographics

CLIA Number: 23D0650487

Facility Name: ASCENSION AT HOME

Facility Address:
28120 DEQUINDRE ROAD
WARREN, MI
ZIP 48092
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Facility Phone Number: 586 913-0345

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1013661958

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	23D0650487
LAB Type	Home Health Agency
Facility Name	ASCENSION AT HOME
Street	28120 DEQUINDRE ROAD
City	WARREN
State	MI
ZIP	48092
Phone	586 913-0345
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024