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23D2186133 CLIA NUMBER - RITE AID #3667

Laboratory Demographics

CLIA Number: 23D2186133

Facility Name: RITE AID #3667

Facility Address:
4001 DAVISON ROAD SUITE A
BURTON, MI
ZIP 48509
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Facility Phone Number: 810 742-0217

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1922117480

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 23D2186133
LAB Type Pharmacy
Facility Name RITE AID #3667
Street 4001 DAVISON ROAD SUITE A
City BURTON
State MI
ZIP 48509
Phone 810 742-0217
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