15D2074418 CLIA NUMBER - MEIJER PHARMACY #256

Laboratory Demographics

  • CLIA Code: 15D2074418
  • Facility Name: MEIJER PHARMACY #256
  • Facility Address: 400 DAN JONES ROAD
    PLAINFIELD, IN
    ZIP 46168
  • Facility Phone: 317 204-1310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1942629639
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2074418
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #256
Street 400 DAN JONES ROAD
City PLAINFIELD
State IN
ZIP 46168
Phone 317 204-1310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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