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23D2279411 CLIA NUMBER - WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08227

Laboratory Demographics

CLIA Number: 23D2279411

Facility Name: WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08227

Facility Address:
2387 ORCHARD LAKE ROAD
SYLVAN LAKE, MI
ZIP 48320
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Facility Phone Number: 248 682-3666

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1801908769

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 23D2279411
LAB Type Pharmacy
Facility Name WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08227
Street 2387 ORCHARD LAKE ROAD
City SYLVAN LAKE
State MI
ZIP 48320
Phone 248 682-3666
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