23D2247090 CLIA NUMBER - WARRIORS PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2247090
  • Facility Name: WARRIORS PHARMACY
  • Facility Address: 5265 ANTHONY WAYNE DRIVE
    DETROIT, MI
    ZIP 48202
  • Facility Phone: 313 774-0520
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIKE SALAME
  • NPI Number: 1669012316
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2247090
LAB Type Pharmacy
Facility Name WARRIORS PHARMACY
Street 5265 ANTHONY WAYNE DRIVE
City DETROIT
State MI
ZIP 48202
Phone 313 774-0520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Pharmacy
Lab Director MIKE SALAME

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