23D1078399 CLIA NUMBER - ROCKWOOD FIRE DEPT

Laboratory Demographics

CLIA Number: 23D1078399

Facility Name: ROCKWOOD FIRE DEPT

Facility Address:
32409 FORT
ROCKWOOD, MI
ZIP 48173
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Facility Phone Number: 734 379-5323

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1609040062

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	23D1078399
LAB Type	Ambulance
Facility Name	ROCKWOOD FIRE DEPT
Street	32409 FORT
City	ROCKWOOD
State	MI
ZIP	48173
Phone	734 379-5323
CertificateType	4
CertificateEffectiveDate	1/9/2024
CertificateExpirationDate	1/8/2026
FacilityType	Waiver

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