23D1008357 CLIA NUMBER - MEIJER PHARMACY # 191

Laboratory Demographics

  • CLIA Code: 23D1008357
  • Facility Name: MEIJER PHARMACY # 191
  • Facility Address: 1195 M-89
    PLAINWELL, MI
    ZIP 49080
  • Facility Phone: 269 685-3810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1710908108
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1008357
LAB Type Pharmacy
Facility Name MEIJER PHARMACY # 191
Street 1195 M-89
City PLAINWELL
State MI
ZIP 49080
Phone 269 685-3810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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