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23D2279421 CLIA NUMBER - WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08238

Laboratory Demographics

CLIA Number: 23D2279421

Facility Name: WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08238

Facility Address:
47011 GRATIOT AVENUE
CHESTERFIELD, MI
ZIP 48051
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Facility Phone Number: 586 421-1021

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1184723488

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 23D2279421
LAB Type Pharmacy
Facility Name WOODWARD DETROIT CVS, LLC CVS/PHARMACY #08238
Street 47011 GRATIOT AVENUE
City CHESTERFIELD
State MI
ZIP 48051
Phone 586 421-1021
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