23D2306087 CLIA NUMBER - NEW MO TOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 23D2306087
  • Facility Name: NEW MO TOWN PHARMACY
  • Facility Address: 20333 CONANT
    DETROIT, MI
    ZIP 48234
  • Facility Phone: 313 891-2253
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMATALJALIL ALJAHMI
  • NPI Number: 1376583021
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2306087
LAB Type Pharmacy
Facility Name NEW MO TOWN PHARMACY
Street 20333 CONANT
City DETROIT
State MI
ZIP 48234
Phone 313 891-2253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Pharmacy
Lab Director AMATALJALIL ALJAHMI

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