23D2028033 CLIA NUMBER - RITE AID #4452

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Laboratory Demographics

CLIA Number: 23D2028033

Facility Name: RITE AID #4452

Facility Address:
3669 WEST MAPLE BLOOMFIELD COMMONS
BLOOMFIELD HILLS, MI
ZIP 48301
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Facility Phone Number: 248 647-4900

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043226343

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	23D2028033
LAB Type	Pharmacy
Facility Name	RITE AID #4452
Street	3669 WEST MAPLE BLOOMFIELD COMMONS
City	BLOOMFIELD HILLS
State	MI
ZIP	48301
Phone	248 647-4900
CertificateType	4
CertificateEffectiveDate	6/17/2022
CertificateExpirationDate	6/16/2024
FacilityType	Waiver

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