14D1016610 CLIA NUMBER - MEIJER PHARMACY #206

Laboratory Demographics

CLIA Number: 14D1016610

Facility Name: MEIJER PHARMACY #206

Facility Address:
400 S RANDALL RD
ALGONQUIN, IL
ZIP 60102
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Facility Phone Number: 847 960-7810

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427328210

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	14D1016610
LAB Type	Pharmacy
Facility Name	MEIJER PHARMACY #206
Street	400 S RANDALL RD
City	ALGONQUIN
State	IL
ZIP	60102
Phone	847 960-7810
CertificateType	4
CertificateEffectiveDate	9/3/2023
CertificateExpirationDate	9/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024