23D2159360 CLIA NUMBER - BATTLECREEK PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 23D2159360
  • Facility Name: BATTLECREEK PHARMACY, INC
  • Facility Address: 16311 GRAND RIVER AVENUE
    DETROIT, MI
    ZIP 48227
  • Facility Phone: 313 838-1100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAVIER OLIVAS
  • NPI Number: 1649404526
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2159360
LAB Type Pharmacy
Facility Name BATTLECREEK PHARMACY, INC
Street 16311 GRAND RIVER AVENUE
City DETROIT
State MI
ZIP 48227
Phone 313 838-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Pharmacy
Lab Director JAVIER OLIVAS

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