23D2205830 CLIA NUMBER - MILLS PHARMACY & APOTHECARY LLC

Laboratory Demographics

  • CLIA Code: 23D2205830
  • Facility Name: MILLS PHARMACY & APOTHECARY LLC
  • Facility Address: 1744 W MAPLE ROAD SUITE A
    BIRMINGHAM, MI
    ZIP 48009
  • Facility Phone: 248 644-5060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PIERRE BOUTROS
  • NPI Number: 1407914831
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2205830
LAB Type Pharmacy
Facility Name MILLS PHARMACY & APOTHECARY LLC
Street 1744 W MAPLE ROAD SUITE A
City BIRMINGHAM
State MI
ZIP 48009
Phone 248 644-5060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director PIERRE BOUTROS

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This page was last updated on: 9/29/2025