23D2084261 CLIA NUMBER - VG'S PHARMACY #1922

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Laboratory Demographics

CLIA Number: 23D2084261

Facility Name: VG'S PHARMACY #1922

Facility Address:
1520 W CARO ROAD
CARO, MI
ZIP 48723
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Facility Phone Number: 989 673-7020

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1871738575

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	23D2084261
LAB Type	Pharmacy
Facility Name	VG'S PHARMACY #1922
Street	1520 W CARO ROAD
City	CARO
State	MI
ZIP	48723
Phone	989 673-7020
CertificateType	4
CertificateEffectiveDate	9/22/2022
CertificateExpirationDate	9/21/2024
FacilityType	Waiver

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