23D2279395 CLIA NUMBER - WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08112

Laboratory Demographics

CLIA Number: 23D2279395

Facility Name: WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08112

Facility Address:
4300 DIXIE HIGHWAY
WATERFORD, MI
ZIP 48329
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Facility Phone Number: 248 673-9800

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1063524916

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	23D2279395
LAB Type	Pharmacy
Facility Name	WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08112
Street	4300 DIXIE HIGHWAY
City	WATERFORD
State	MI
ZIP	48329
Phone	248 673-9800
CertificateType	4
CertificateEffectiveDate	4/3/2023
CertificateExpirationDate	4/2/2025
FacilityType	Waiver

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