Healther Providers Data Logo

23D2186709 CLIA NUMBER - RITE AID #4543

Laboratory Demographics

CLIA Number: 23D2186709

Facility Name: RITE AID #4543

Facility Address:
22521 MICHIGAN AVENUE
DEARBORN, MI
ZIP 48124
Get Directions

Facility Phone Number: 313 278-1515

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1093824542

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 23D2186709
LAB Type Pharmacy
Facility Name RITE AID #4543
Street 22521 MICHIGAN AVENUE
City DEARBORN
State MI
ZIP 48124
Phone 313 278-1515
CertificateType 4
CertificateEffectiveDate 6/22/2022
CertificateExpirationDate 6/21/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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