15D2059747 CLIA NUMBER - MEIJER PHARMACY #267

Laboratory Demographics

  • CLIA Code: 15D2059747
  • Facility Name: MEIJER PHARMACY #267
  • Facility Address: 1200 LAKE CITY HWY
    WARSAW, IN
    ZIP 46580
  • Facility Phone: 574 371-4110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1891130126
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2059747
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #267
Street 1200 LAKE CITY HWY
City WARSAW
State IN
ZIP 46580
Phone 574 371-4110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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