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23D2186141 CLIA NUMBER - RITE AID #1611

Laboratory Demographics

CLIA Number: 23D2186141

Facility Name: RITE AID #1611

Facility Address:
2489 EAST LAKE LANSING ROAD
EAST LANSING, MI
ZIP 48823
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Facility Phone Number: 517 332-0888

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1336251453

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 23D2186141
LAB Type Pharmacy
Facility Name RITE AID #1611
Street 2489 EAST LAKE LANSING ROAD
City EAST LANSING
State MI
ZIP 48823
Phone 517 332-0888
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