23D2207217 CLIA NUMBER - PRIME PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2207217
  • Facility Name: PRIME PHARMACY
  • Facility Address: 1948 FORD AVENUE
    WYANDOTTE, MI
    ZIP 48192
  • Facility Phone: 734 309-7082
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD HAMDAN
  • NPI Number: 1174055925
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2207217
LAB Type Pharmacy
Facility Name PRIME PHARMACY
Street 1948 FORD AVENUE
City WYANDOTTE
State MI
ZIP 48192
Phone 734 309-7082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Pharmacy
Lab Director MOHAMMAD HAMDAN

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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