23D2061250 CLIA NUMBER - WALGREENS #04298

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Laboratory Demographics

CLIA Number: 23D2061250

Facility Name: WALGREENS #04298

Facility Address:
29200 6 MILE ROAD
LIVONIA, MI
ZIP 48152
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Facility Phone Number: 734 427-3237

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1194730218

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	23D2061250
LAB Type	Pharmacy
Facility Name	WALGREENS #04298
Street	29200 6 MILE ROAD
City	LIVONIA
State	MI
ZIP	48152
Phone	734 427-3237
CertificateType	4
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	Waiver

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