15D2127484 CLIA NUMBER - MEIJER PHARMACY #296

Laboratory Demographics

  • CLIA Code: 15D2127484
  • Facility Name: MEIJER PHARMACY #296
  • Facility Address: 6936 W BROADWAY
    MCCORDSVILLE, IN
    ZIP 46055
  • Facility Phone: 317 510-0310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1982149746
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2127484
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #296
Street 6936 W BROADWAY
City MCCORDSVILLE
State IN
ZIP 46055
Phone 317 510-0310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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