23D2300038 CLIA NUMBER - BELLE ISLE RX

Laboratory Demographics

  • CLIA Code: 23D2300038
  • Facility Name: BELLE ISLE RX
  • Facility Address: 18505 GRAND RIVER AVENUE
    DETROIT, MI
    ZIP 48223
  • Facility Phone: 313 200-0200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURENA HAZEM CHAHINE
  • NPI Number: 1285410316
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2300038
LAB Type Pharmacy
Facility Name BELLE ISLE RX
Street 18505 GRAND RIVER AVENUE
City DETROIT
State MI
ZIP 48223
Phone 313 200-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Pharmacy
Lab Director LAURENA HAZEM CHAHINE

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