23D2261043 CLIA NUMBER - SPECIALTY RX MI LLC

Laboratory Demographics

  • CLIA Code: 23D2261043
  • Facility Name: SPECIALTY RX MI LLC
  • Facility Address: 35608 WARREN ROAD
    WESTLAND, MI
    ZIP 48185
  • Facility Phone: 734 728-4030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANTOSHKUMAR PANDYA
  • NPI Number: 1902143118
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2261043
LAB Type Pharmacy
Facility Name SPECIALTY RX MI LLC
Street 35608 WARREN ROAD
City WESTLAND
State MI
ZIP 48185
Phone 734 728-4030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Pharmacy
Lab Director SANTOSHKUMAR PANDYA

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