15D1008305 CLIA NUMBER - MEIJER PHARMACY 132

Laboratory Demographics

  • CLIA Code: 15D1008305
  • Facility Name: MEIJER PHARMACY 132
  • Facility Address: 150 S MARLIN DR
    GREENWOOD, IN
    ZIP 46142
  • Facility Phone: 317 885-3010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1093085896
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1008305
LAB Type Pharmacy
Facility Name MEIJER PHARMACY 132
Street 150 S MARLIN DR
City GREENWOOD
State IN
ZIP 46142
Phone 317 885-3010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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