23D2186347 CLIA NUMBER - RITE AID #4487

Laboratory Demographics

CLIA Number: 23D2186347

Facility Name: RITE AID #4487

Facility Address:
3050 UNION LAKE ROAD
COMMERCE TOWNSHIP, MI
ZIP 48382
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Facility Phone Number: 248 363-4392

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1871602391

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	23D2186347
LAB Type	Pharmacy
Facility Name	RITE AID #4487
Street	3050 UNION LAKE ROAD
City	COMMERCE TOWNSHIP
State	MI
ZIP	48382
Phone	248 363-4392
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