23D2305579 CLIA NUMBER - TLC PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2305579
  • Facility Name: TLC PHARMACY
  • Facility Address: 2959 S TELEGRAPH
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 274-0800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMIT A. PATEL
  • NPI Number: 1447570429
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2305579
LAB Type Pharmacy
Facility Name TLC PHARMACY
Street 2959 S TELEGRAPH
City DEARBORN
State MI
ZIP 48124
Phone 313 274-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Pharmacy
Lab Director AMIT A. PATEL

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