23D2074532 CLIA NUMBER - DEVZ PHARMACY II

Laboratory Demographics

  • CLIA Code: 23D2074532
  • Facility Name: DEVZ PHARMACY II
  • Facility Address: 6624 N CANTON CENTER ROAD
    CANTON, MI
    ZIP 48187
  • Facility Phone: 734 335-6312
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WASHDEV S. MATA
  • NPI Number: 1861834483
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2074532
LAB Type Pharmacy
Facility Name DEVZ PHARMACY II
Street 6624 N CANTON CENTER ROAD
City CANTON
State MI
ZIP 48187
Phone 734 335-6312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Pharmacy
Lab Director WASHDEV S. MATA

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This page was last updated on: 9/29/2025