23D2324875 CLIA NUMBER - PHARMOR PHARMACY-DOCTORS'

Laboratory Demographics

  • CLIA Code: 23D2324875
  • Facility Name: PHARMOR PHARMACY-DOCTORS'
  • Facility Address: 3169 WOODWARD AVENUE
    DETROIT, MI
    ZIP 48201
  • Facility Phone: 313 832-4810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIKITA WILLIS
  • NPI Number: 1811139496
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2324875
LAB Type Pharmacy
Facility Name PHARMOR PHARMACY-DOCTORS'
Street 3169 WOODWARD AVENUE
City DETROIT
State MI
ZIP 48201
Phone 313 832-4810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Pharmacy
Lab Director NIKITA WILLIS

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