23D2186115 CLIA NUMBER - RITE AID #3452

Laboratory Demographics

CLIA Number: 23D2186115

Facility Name: RITE AID #3452

Facility Address:
602 WEST BROAD STREET
LINDEN, MI
ZIP 48451
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Facility Phone Number: 810 735-1341

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588773048

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	23D2186115
LAB Type	Pharmacy
Facility Name	RITE AID #3452
Street	602 WEST BROAD STREET
City	LINDEN
State	MI
ZIP	48451
Phone	810 735-1341
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