15D1027716 CLIA NUMBER - MEIJER PHARMACY #230

Laboratory Demographics

  • CLIA Code: 15D1027716
  • Facility Name: MEIJER PHARMACY #230
  • Facility Address: 17000 MERCANTILE BLVD
    NOBLESVILLE, IN
    ZIP 46060
  • Facility Phone: 317 774-7864
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1982975850
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1027716
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #230
Street 17000 MERCANTILE BLVD
City NOBLESVILLE
State IN
ZIP 46060
Phone 317 774-7864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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