23D1008358 CLIA NUMBER - MEIJER PHARMACY #188

Laboratory Demographics

CLIA Number: 23D1008358

Facility Name: MEIJER PHARMACY #188

Facility Address:
13000 MIDDLEBELT RD
LIVONIA, MI
ZIP 48150
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Facility Phone Number: 734 367-0010

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1942364336

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	23D1008358
LAB Type	Pharmacy
Facility Name	MEIJER PHARMACY #188
Street	13000 MIDDLEBELT RD
City	LIVONIA
State	MI
ZIP	48150
Phone	734 367-0010
CertificateType	4
CertificateEffectiveDate	1/21/2023
CertificateExpirationDate	1/20/2025
FacilityType	Waiver

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