23D2279429 CLIA NUMBER - WOODWARD DETROIT CVS, LLC CVS/PHARMACY#08416

Laboratory Demographics

  • CLIA Code: 23D2279429
  • Facility Name: WOODWARD DETROIT CVS, LLC CVS/PHARMACY#08416
  • Facility Address: 53069 VAN DYKE
    SHELBY TOWNSHIP, MI
    ZIP 48316
  • Facility Phone: 586 781-2655
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FADI ESHO
  • NPI Number: 1407956840
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2279429
LAB Type Pharmacy
Facility Name WOODWARD DETROIT CVS, LLC CVS/PHARMACY#08416
Street 53069 VAN DYKE
City SHELBY TOWNSHIP
State MI
ZIP 48316
Phone 586 781-2655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Pharmacy
Lab Director FADI ESHO

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This page was last updated on: 9/29/2025