23D2175402 CLIA NUMBER - ROCK HEALTH COLLECTIVE PHARMACY #21279

Laboratory Demographics

  • CLIA Code: 23D2175402
  • Facility Name: ROCK HEALTH COLLECTIVE PHARMACY #21279
  • Facility Address: 660 WOODWARD AVE
    DETROIT, MI
    ZIP 48226
  • Facility Phone: 313 771-6039
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAHAANA MUKUNDAN
  • NPI Number: 1023663366
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2175402
LAB Type Pharmacy
Facility Name ROCK HEALTH COLLECTIVE PHARMACY #21279
Street 660 WOODWARD AVE
City DETROIT
State MI
ZIP 48226
Phone 313 771-6039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Pharmacy
Lab Director SAHAANA MUKUNDAN

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