23D1008404 CLIA NUMBER - MEIJER PHARMACY #67

Laboratory Demographics

CLIA Number: 23D1008404

Facility Name: MEIJER PHARMACY #67

Facility Address:
1700 TELEGRAPH ROAD
MONROE, MI
ZIP 48162
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Facility Phone Number: 734 457-1925

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1316087745

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	23D1008404
LAB Type	Pharmacy
Facility Name	MEIJER PHARMACY #67
Street	1700 TELEGRAPH ROAD
City	MONROE
State	MI
ZIP	48162
Phone	734 457-1925
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