23D2207234 CLIA NUMBER - CLAWSON CARE PHARMACY LLC

Laboratory Demographics

CLIA Number: 23D2207234

Facility Name: CLAWSON CARE PHARMACY LLC

Facility Address:
117 W 14 MILE ROAD
CLAWSON, MI
ZIP 48017
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Facility Phone Number: 248 439-2400

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1386065126

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 23D2207234
LAB Type Pharmacy
Facility Name CLAWSON CARE PHARMACY LLC
Street 117 W 14 MILE ROAD
City CLAWSON
State MI
ZIP 48017
Phone 248 439-2400
CertificateType 4
CertificateEffectiveDate 12/26/2022
CertificateExpirationDate 12/25/2024
FacilityType Waiver

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