15D0966745 CLIA NUMBER - MEIJER PHARMACY #137

Laboratory Demographics

  • CLIA Code: 15D0966745
  • Facility Name: MEIJER PHARMACY #137
  • Facility Address: 4901 SR 26 E
    LAFAYETTE, IN
    ZIP 47905
  • Facility Phone: 765 449-9210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQELINE MORSE
  • NPI Number: 1710257514
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D0966745
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #137
Street 4901 SR 26 E
City LAFAYETTE
State IN
ZIP 47905
Phone 765 449-9210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director JACQELINE MORSE

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