23D2186175 CLIA NUMBER - RITE AID #4270

Laboratory Demographics

CLIA Number: 23D2186175

Facility Name: RITE AID #4270

Facility Address:
66711 GRATIOT AVENUE
RICHMOND, MI
ZIP 48062
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Facility Phone Number: 586 727-9715

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1285743765

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	23D2186175
LAB Type	Pharmacy
Facility Name	RITE AID #4270
Street	66711 GRATIOT AVENUE
City	RICHMOND
State	MI
ZIP	48062
Phone	586 727-9715
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