23D2221385 CLIA NUMBER - WOODWARD DETROIT CVS, LLC

Laboratory Demographics

CLIA Number: 23D2221385

Facility Name: WOODWARD DETROIT CVS, LLC

Facility Address:
42934 WOODWARD AVENUE
BLOOMFIELD HILLS, MI
ZIP 48304
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1205834124

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	23D2221385
LAB Type	Pharmacy
Facility Name	WOODWARD DETROIT CVS, LLC
Street	42934 WOODWARD AVENUE
City	BLOOMFIELD HILLS
State	MI
ZIP	48304
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	Waiver

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