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23D2224238 CLIA NUMBER - WOODWARD DETROIT CVS LLC DBA CVS/PHARMACY #08025

Laboratory Demographics

CLIA Number: 23D2224238

Facility Name: WOODWARD DETROIT CVS LLC DBA CVS/PHARMACY #08025

Facility Address:
807WEST CHICAGO BLVD
TECUMSEH, MI
ZIP 49286
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1922110857

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 23D2224238
LAB Type Pharmacy
Facility Name WOODWARD DETROIT CVS LLC DBA CVS/PHARMACY #08025
Street 807WEST CHICAGO BLVD
City TECUMSEH
State MI
ZIP 49286
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 5/12/2023
CertificateExpirationDate 5/11/2025
FacilityType Waiver

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