23D2185658 CLIA NUMBER - MEDCART SPECIALTY PHARMACY #4906

Laboratory Demographics

  • CLIA Code: 23D2185658
  • Facility Name: MEDCART SPECIALTY PHARMACY #4906
  • Facility Address: 32131 INDUSTRIAL ROAD
    LIVONIA, MI
    ZIP 48150
  • Facility Phone: 734 762-6600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA DAVISON
  • NPI Number: 1811269046
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2185658
LAB Type Pharmacy
Facility Name MEDCART SPECIALTY PHARMACY #4906
Street 32131 INDUSTRIAL ROAD
City LIVONIA
State MI
ZIP 48150
Phone 734 762-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Pharmacy
Lab Director KRISTA DAVISON

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