23D2251887 CLIA NUMBER - DYNAMIC CARE PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2251887
  • Facility Name: DYNAMIC CARE PHARMACY
  • Facility Address: 4119 W 13 MILE ROAD
    ROYAL OAK, MI
    ZIP 48073
  • Facility Phone: 248 850-1802
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIRA PATEL
  • NPI Number: 1407123953
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2251887
LAB Type Pharmacy
Facility Name DYNAMIC CARE PHARMACY
Street 4119 W 13 MILE ROAD
City ROYAL OAK
State MI
ZIP 48073
Phone 248 850-1802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Pharmacy
Lab Director MIRA PATEL

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