23D2219166 CLIA NUMBER - WOODWARD DETROIT CVS LLC DBA CVS/PHARMACY #08239

Laboratory Demographics

CLIA Number: 23D2219166

Facility Name: WOODWARD DETROIT CVS LLC DBA CVS/PHARMACY #08239

Facility Address:
6070 WEST MAPLE ROAD
WEST BLOOMFIELD, MI
ZIP 48322
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1376055079

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 23D2219166
LAB Type Pharmacy
Facility Name WOODWARD DETROIT CVS LLC DBA CVS/PHARMACY #08239
Street 6070 WEST MAPLE ROAD
City WEST BLOOMFIELD
State MI
ZIP 48322
Phone 401 770-6431
CertificateType 4
CertificateEffectiveDate 4/2/2023
CertificateExpirationDate 4/1/2025
FacilityType Waiver

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