23D2247365 CLIA NUMBER - VILLAGE PHARMACY AND COMPOUNDING

Laboratory Demographics

  • CLIA Code: 23D2247365
  • Facility Name: VILLAGE PHARMACY AND COMPOUNDING
  • Facility Address: 3592 W MAPLE ROAD
    BLOOMFIELD HILLS, MI
    ZIP 48301
  • Facility Phone: 248 644-6337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GABIAN ZAWAIDEH
  • NPI Number: 1114317393
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2247365
LAB Type Pharmacy
Facility Name VILLAGE PHARMACY AND COMPOUNDING
Street 3592 W MAPLE ROAD
City BLOOMFIELD HILLS
State MI
ZIP 48301
Phone 248 644-6337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Pharmacy
Lab Director GABIAN ZAWAIDEH

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