23D2213259 CLIA NUMBER - SKIPS PHARMACY OF MICHIGAN

Laboratory Demographics

CLIA Number: 23D2213259

Facility Name: SKIPS PHARMACY OF MICHIGAN

Facility Address:
700 MICHIGAN AVENUE
HOLLAND, MI
ZIP 49423
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Facility Phone Number: 616 392-8507

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1104841808

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	23D2213259
LAB Type	Pharmacy
Facility Name	SKIPS PHARMACY OF MICHIGAN
Street	700 MICHIGAN AVENUE
City	HOLLAND
State	MI
ZIP	49423
Phone	616 392-8507
CertificateType	4
CertificateEffectiveDate	2/11/2023
CertificateExpirationDate	2/10/2025
FacilityType	Waiver

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