23D2272985 CLIA NUMBER - BIOSCRIPT PHARMACY MI LLC

Laboratory Demographics

  • CLIA Code: 23D2272985
  • Facility Name: BIOSCRIPT PHARMACY MI LLC
  • Facility Address: 15348 FORT STREET
    SOUTHGATE, MI
    ZIP 48195
  • Facility Phone: 734 324-4000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLSH TYAGI
  • NPI Number: 1124399670
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2272985
LAB Type Pharmacy
Facility Name BIOSCRIPT PHARMACY MI LLC
Street 15348 FORT STREET
City SOUTHGATE
State MI
ZIP 48195
Phone 734 324-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Pharmacy
Lab Director ASHLSH TYAGI

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