23D2186754 CLIA NUMBER - RITE AID #4948

Laboratory Demographics

CLIA Number: 23D2186754

Facility Name: RITE AID #4948

Facility Address:
G-4007 SOUTH SAGINAW ST
BURTON, MI
ZIP 48529
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Facility Phone Number: 810 742-7002

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1104935683

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	23D2186754
LAB Type	Pharmacy
Facility Name	RITE AID #4948
Street	G-4007 SOUTH SAGINAW ST
City	BURTON
State	MI
ZIP	48529
Phone	810 742-7002
CertificateType	4
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Waiver

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