15D0998993 CLIA NUMBER - MEIJER PHARMACY 139

Laboratory Demographics

  • CLIA Code: 15D0998993
  • Facility Name: MEIJER PHARMACY 139
  • Facility Address: 6260 W MCGALLIARD RD SR 332
    MUNCIE, IN
    ZIP 47304
  • Facility Phone: 765 281-7810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1083984884
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D0998993
LAB Type Pharmacy
Facility Name MEIJER PHARMACY 139
Street 6260 W MCGALLIARD RD SR 332
City MUNCIE
State IN
ZIP 47304
Phone 765 281-7810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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