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23D2176883 CLIA NUMBER - RITE AID #04305

Laboratory Demographics

CLIA Number: 23D2176883

Facility Name: RITE AID #04305

Facility Address:
2971 W MAPLE ROAD
TROY, MI
ZIP 48084
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Facility Phone Number: 248 288-4385

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1093725541

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 23D2176883
LAB Type Pharmacy
Facility Name RITE AID #04305
Street 2971 W MAPLE ROAD
City TROY
State MI
ZIP 48084
Phone 248 288-4385
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