14D2093308 CLIA NUMBER - MEIJER PHARMACY #281

Laboratory Demographics

  • CLIA Code: 14D2093308
  • Facility Name: MEIJER PHARMACY #281
  • Facility Address: 1770 WEST LANE
    MACHESNEY PARK, IL
    ZIP 61115
  • Facility Phone: 815 721-8710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1538528971
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 14D2093308
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #281
Street 1770 WEST LANE
City MACHESNEY PARK
State IL
ZIP 61115
Phone 815 721-8710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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