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23D2186280 CLIA NUMBER - RITE AID #4320

Laboratory Demographics

CLIA Number: 23D2186280

Facility Name: RITE AID #4320

Facility Address:
37399 6 MILE ROAD
LIVONIA, MI
ZIP 48152
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Facility Phone Number: 734 464-7960

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1013927573

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 23D2186280
LAB Type Pharmacy
Facility Name RITE AID #4320
Street 37399 6 MILE ROAD
City LIVONIA
State MI
ZIP 48152
Phone 734 464-7960
CertificateType 4
CertificateEffectiveDate 6/16/2022
CertificateExpirationDate 6/15/2024
FacilityType Waiver

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