23D2146511 CLIA NUMBER - MEIJER PHARMACY #306

Laboratory Demographics

CLIA Number: 23D2146511

Facility Name: MEIJER PHARMACY #306

Facility Address:
25225 SCHOENHERR ROAD
WARREN, MI
ZIP 48089
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Facility Phone Number: 586 210-9810

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508367111

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	23D2146511
LAB Type	Pharmacy
Facility Name	MEIJER PHARMACY #306
Street	25225 SCHOENHERR ROAD
City	WARREN
State	MI
ZIP	48089
Phone	586 210-9810
CertificateType	4
CertificateEffectiveDate	3/30/2024
CertificateExpirationDate	3/29/2026
FacilityType	Waiver

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