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23D2176871 CLIA NUMBER - RITE AID #04372

Laboratory Demographics

CLIA Number: 23D2176871

Facility Name: RITE AID #04372

Facility Address:
640 N MILFORD ROAD
MILFORD, MI
ZIP 48381
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Facility Phone Number: 248 676-2916

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1225048523

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 23D2176871
LAB Type Pharmacy
Facility Name RITE AID #04372
Street 640 N MILFORD ROAD
City MILFORD
State MI
ZIP 48381
Phone 248 676-2916
CertificateType 4
CertificateEffectiveDate 12/30/2023
CertificateExpirationDate 12/29/2025
FacilityType Waiver

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