23D2186772 CLIA NUMBER - RITE AID #7824

Laboratory Demographics

CLIA Number: 23D2186772

Facility Name: RITE AID #7824

Facility Address:
4151 S CANTON CENTER ROAD
CANTON, MI
ZIP 48188
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Facility Phone Number: 734 394-0027

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1851417836

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 23D2186772
LAB Type Pharmacy
Facility Name RITE AID #7824
Street 4151 S CANTON CENTER ROAD
City CANTON
State MI
ZIP 48188
Phone 734 394-0027
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