23D2276885 CLIA NUMBER - CROWN SPECIALTY PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 23D2276885
  • Facility Name: CROWN SPECIALTY PHARMACY LLC
  • Facility Address: 24401 PLYMOUTH ROAD
    REDFORD, MI
    ZIP 48239
  • Facility Phone: 313 532-3784
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALI J. FAKIH
  • NPI Number: 1184750713
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2276885
LAB Type Pharmacy
Facility Name CROWN SPECIALTY PHARMACY LLC
Street 24401 PLYMOUTH ROAD
City REDFORD
State MI
ZIP 48239
Phone 313 532-3784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Pharmacy
Lab Director ALI J. FAKIH

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