15D1005300 CLIA NUMBER - MEIJER PHARMACY #154

Laboratory Demographics

  • CLIA Code: 15D1005300
  • Facility Name: MEIJER PHARMACY #154
  • Facility Address: 8375 E 96TH ST
    INDIANAPOLIS, IN
    ZIP 46256
  • Facility Phone: 317 585-2410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1609146414
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1005300
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #154
Street 8375 E 96TH ST
City INDIANAPOLIS
State IN
ZIP 46256
Phone 317 585-2410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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