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23D2255735 CLIA NUMBER - WOODWARD DETROIT CVS, LLC DBA CVS/PHARMACY #05741

Laboratory Demographics

CLIA Number: 23D2255735

Facility Name: WOODWARD DETROIT CVS, LLC DBA CVS/PHARMACY #05741

Facility Address:
7488 VILLAGE CENTER DRIVE
WHITMORE LAKE, MI
ZIP 48189
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1033374319

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 23D2255735
LAB Type Pharmacy
Facility Name WOODWARD DETROIT CVS, LLC DBA CVS/PHARMACY #05741
Street 7488 VILLAGE CENTER DRIVE
City WHITMORE LAKE
State MI
ZIP 48189
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 3/17/2024
CertificateExpirationDate 3/16/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024