23D2192721 CLIA NUMBER - LINCOLN RX INC

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Laboratory Demographics

CLIA Number: 23D2192721

Facility Name: LINCOLN RX INC

Facility Address:
25901 COOLIDGE HWY
OAK PARK, MI
ZIP 48237
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Facility Phone Number: 248 543-7848

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1598262420

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	23D2192721
LAB Type	Pharmacy
Facility Name	LINCOLN RX INC
Street	25901 COOLIDGE HWY
City	OAK PARK
State	MI
ZIP	48237
Phone	248 543-7848
CertificateType	4
CertificateEffectiveDate	9/14/2022
CertificateExpirationDate	9/13/2024
FacilityType	Waiver

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