15D2147164 CLIA NUMBER - MEIJER PHARMACY #297

Laboratory Demographics

  • CLIA Code: 15D2147164
  • Facility Name: MEIJER PHARMACY #297
  • Facility Address: 405 PORTERS VALE BLVD
    VALPARAISO, IN
    ZIP 46383
  • Facility Phone: 219 300-8010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE J. MORSE
  • NPI Number: 1275034860
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2147164
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #297
Street 405 PORTERS VALE BLVD
City VALPARAISO
State IN
ZIP 46383
Phone 219 300-8010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Pharmacy
Lab Director JACQUELINE J. MORSE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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