23D0949640 CLIA NUMBER - MEIJER PHARMACY #105

Laboratory Demographics

  • CLIA Code: 23D0949640
  • Facility Name: MEIJER PHARMACY #105
  • Facility Address: 27255 23 MILE ROAD
    CHESTERFIELD, MI
    ZIP 48051
  • Facility Phone: 586 598-1118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1699830463
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D0949640
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #105
Street 27255 23 MILE ROAD
City CHESTERFIELD
State MI
ZIP 48051
Phone 586 598-1118
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

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