23D2091283 CLIA NUMBER - RITE AID #7810

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Laboratory Demographics

CLIA Number: 23D2091283

Facility Name: RITE AID #7810

Facility Address:
842 S STATE STREET
BIG RAPIDS, MI
ZIP 49307
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Facility Phone Number: 231 796-8659

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1568571057

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	23D2091283
LAB Type	Pharmacy
Facility Name	RITE AID #7810
Street	842 S STATE STREET
City	BIG RAPIDS
State	MI
ZIP	49307
Phone	231 796-8659
CertificateType	4
CertificateEffectiveDate	2/10/2023
CertificateExpirationDate	2/9/2025
FacilityType	Waiver

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