14D1016609 CLIA NUMBER - MEIJER PHARMACY #218

Laboratory Demographics

  • CLIA Code: 14D1016609
  • Facility Name: MEIJER PHARMACY #218
  • Facility Address: 2253 N RICHMOND RD
    MCHENRY, IL
    ZIP 60051
  • Facility Phone: 815 578-9710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1417227216
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1016609
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #218
Street 2253 N RICHMOND RD
City MCHENRY
State IL
ZIP 60051
Phone 815 578-9710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2023
Certificate Expiration Date 9/2/2025
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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This page was last updated on: 6/4/2025