23D2324597 CLIA NUMBER - PHARMOR PHARMACY - PHYSICIANS

Laboratory Demographics

  • CLIA Code: 23D2324597
  • Facility Name: PHARMOR PHARMACY - PHYSICIANS
  • Facility Address: 40 E ALEXANDRINE STREET
    DETROIT, MI
    ZIP 48201
  • Facility Phone: 313 832-2050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IMANE KEAIK
  • NPI Number: 1831223692
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2324597
LAB Type Pharmacy
Facility Name PHARMOR PHARMACY - PHYSICIANS
Street 40 E ALEXANDRINE STREET
City DETROIT
State MI
ZIP 48201
Phone 313 832-2050
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 IMANE KEAIK

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