23D2230977 CLIA NUMBER - WOODWARD DETROIT CVS, LLC DBA CVS/PHARMACY #08001

Laboratory Demographics

CLIA Number: 23D2230977

Facility Name: WOODWARD DETROIT CVS, LLC DBA CVS/PHARMACY #08001

Facility Address:
15325 MICHIGAN AVE
DEARBORN, MI
ZIP 48126
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1073535746

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	23D2230977
LAB Type	Pharmacy
Facility Name	WOODWARD DETROIT CVS, LLC DBA CVS/PHARMACY #08001
Street	15325 MICHIGAN AVE
City	DEARBORN
State	MI
ZIP	48126
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	7/29/2023
CertificateExpirationDate	7/28/2025
FacilityType	Waiver

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