15D1008309 CLIA NUMBER - MEIJER PHARMACY 129

Laboratory Demographics

  • CLIA Code: 15D1008309
  • Facility Name: MEIJER PHARMACY 129
  • Facility Address: 5349 PIKE PLAZA RD
    INDIANAPOLIS, IN
    ZIP 46254
  • Facility Phone: 317 387-2410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1003186800
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1008309
LAB Type Pharmacy
Facility Name MEIJER PHARMACY 129
Street 5349 PIKE PLAZA RD
City INDIANAPOLIS
State IN
ZIP 46254
Phone 317 387-2410
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