15D0998804 CLIA NUMBER - MEIJER PHARMACY #130

Laboratory Demographics

  • CLIA Code: 15D0998804
  • Facility Name: MEIJER PHARMACY #130
  • Facility Address: 1424 W CARMEL DR
    CARMEL, IN
    ZIP 46032
  • Facility Phone: (317) 573-8310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1649540444
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D0998804
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #130
Street 1424 W CARMEL DR
City CARMEL
State IN
ZIP 46032
Phone 3175738310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2026
Certificate Expiration Date 4/24/2028
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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This page was last updated on: 5/18/2026