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23D2279409 CLIA NUMBER - WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08225

Laboratory Demographics

CLIA Number: 23D2279409

Facility Name: WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08225

Facility Address:
1791 S HAGGERTY ROAD
CANTON, MI
ZIP 48188
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Facility Phone Number: 734 394-2460

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1811096118

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 23D2279409
LAB Type Pharmacy
Facility Name WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08225
Street 1791 S HAGGERTY ROAD
City CANTON
State MI
ZIP 48188
Phone 734 394-2460
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