23D2268605 CLIA NUMBER - INNOVATIVE PHARMACY SOLUTIONS, LLC

Laboratory Demographics

  • CLIA Code: 23D2268605
  • Facility Name: INNOVATIVE PHARMACY SOLUTIONS, LLC
  • Facility Address: 49676 MARTIN DRIVE
    WIXOM, MI
    ZIP 48393
  • Facility Phone: 248 277-0932
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC J. LEE
  • NPI Number: 1740927342
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2268605
LAB Type Pharmacy
Facility Name INNOVATIVE PHARMACY SOLUTIONS, LLC
Street 49676 MARTIN DRIVE
City WIXOM
State MI
ZIP 48393
Phone 248 277-0932
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Pharmacy
Lab Director ERIC J. LEE

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