15D1008271 CLIA NUMBER - MEIJER PHARMACY #133

Laboratory Demographics

  • CLIA Code: 15D1008271
  • Facility Name: MEIJER PHARMACY #133
  • Facility Address: 10841 US 36/ROCKVILLE RD
    AVON, IN
    ZIP 46123
  • Facility Phone: 317 273-6010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON BEAUCH
  • NPI Number: 1942570825
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1008271
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #133
Street 10841 US 36/ROCKVILLE RD
City AVON
State IN
ZIP 46123
Phone 317 273-6010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Pharmacy
Lab Director JASON BEAUCH

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