23D2324595 CLIA NUMBER - PROCARE PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 23D2324595
  • Facility Name: PROCARE PHARMACY LLC
  • Facility Address: 13111 WOODWARD AVENUE
    HIGHLAND PARK, MI
    ZIP 48203
  • Facility Phone: 313 865-9900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUNTHER A. SALEH
  • NPI Number: 1356553200
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2324595
LAB Type Pharmacy
Facility Name PROCARE PHARMACY LLC
Street 13111 WOODWARD AVENUE
City HIGHLAND PARK
State MI
ZIP 48203
Phone 313 865-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Pharmacy
Lab Director MUNTHER A. SALEH

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