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23D2186108 CLIA NUMBER - RITE AID #1532

Laboratory Demographics

CLIA Number: 23D2186108

Facility Name: RITE AID #1532

Facility Address:
9377 CHERRY VALLEY ROAD
CALEDONIA, MI
ZIP 49316
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Facility Phone Number: 616 891-1256

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1124137666

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 23D2186108
LAB Type Pharmacy
Facility Name RITE AID #1532
Street 9377 CHERRY VALLEY ROAD
City CALEDONIA
State MI
ZIP 49316
Phone 616 891-1256
CertificateType 4
CertificateEffectiveDate 6/15/2022
CertificateExpirationDate 6/14/2024
FacilityType Waiver

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