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23D2186353 CLIA NUMBER - RITE AID #4385

Laboratory Demographics

CLIA Number: 23D2186353

Facility Name: RITE AID #4385

Facility Address:
2003 EAST 12 MILE ROAD
WARREN, MI
ZIP 48092
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Facility Phone Number: 586 751-3600

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1255341558

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 23D2186353
LAB Type Pharmacy
Facility Name RITE AID #4385
Street 2003 EAST 12 MILE ROAD
City WARREN
State MI
ZIP 48092
Phone 586 751-3600
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