23D2279368 CLIA NUMBER - WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08062

Laboratory Demographics

CLIA Number: 23D2279368

Facility Name: WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08062

Facility Address:
28774 GRATIOT
ROSEVILLE, MI
ZIP 48066
Get Directions

Facility Phone Number: 586 777-6350

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508978446

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	23D2279368
LAB Type	Pharmacy
Facility Name	WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08062
Street	28774 GRATIOT
City	ROSEVILLE
State	MI
ZIP	48066
Phone	586 777-6350
CertificateType	4
CertificateEffectiveDate	4/3/2023
CertificateExpirationDate	4/2/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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