23D0949634 CLIA NUMBER - MEIJER PHARMACY #158

Laboratory Demographics

  • CLIA Code: 23D0949634
  • Facility Name: MEIJER PHARMACY #158
  • Facility Address: 1997 EAST BELTLINE NE
    GRAND RAPIDS, MI
    ZIP 49525
  • Facility Phone: 616 447-1510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1649329244
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0949634
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #158
Street 1997 EAST BELTLINE NE
City GRAND RAPIDS
State MI
ZIP 49525
Phone 616 447-1510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Pharmacy
Lab Director JACQUELINE 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