23D2151049 CLIA NUMBER - I PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2151049
  • Facility Name: I PHARMACY
  • Facility Address: 31193 PLYMOUTH ROAD
    LIVONIA, MI
    ZIP 48150
  • Facility Phone: 734 743-5055
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUDY NAJM
  • NPI Number: 1255739280
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2151049
LAB Type Pharmacy
Facility Name I PHARMACY
Street 31193 PLYMOUTH ROAD
City LIVONIA
State MI
ZIP 48150
Phone 734 743-5055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Pharmacy
Lab Director RUDY NAJM

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