23D2243836 CLIA NUMBER - UTICA PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2243836
  • Facility Name: UTICA PHARMACY
  • Facility Address: 49310 VAN DYKE AVE STE 100
    SHELBY TOWNSHIP, MI
    ZIP 48317
  • Facility Phone: 586 884-7710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SWARUP PATEL
  • NPI Number: 1609302181
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2243836
LAB Type Pharmacy
Facility Name UTICA PHARMACY
Street 49310 VAN DYKE AVE STE 100
City SHELBY TOWNSHIP
State MI
ZIP 48317
Phone 586 884-7710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Pharmacy
Lab Director SWARUP PATEL

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This page was last updated on: 9/29/2025