23D2255728 CLIA NUMBER - WOODWARD DETROIT CVS, LLC DBA CVS/PHARMACY #08053

Laboratory Demographics

  • CLIA Code: 23D2255728
  • Facility Name: WOODWARD DETROIT CVS, LLC DBA CVS/PHARMACY #08053
  • Facility Address: 4514 GRATIOT ROAD
    KIMBALL, MI
    ZIP 48074
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE GEMMETE
  • NPI Number: 1013029958
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2255728
LAB Type Pharmacy
Facility Name WOODWARD DETROIT CVS, LLC DBA CVS/PHARMACY #08053
Street 4514 GRATIOT ROAD
City KIMBALL
State MI
ZIP 48074
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Pharmacy
Lab Director STEPHANIE GEMMETE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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