23D1008363 CLIA NUMBER - MEIJER PHARMACY #180

Laboratory Demographics

  • CLIA Code: 23D1008363
  • Facility Name: MEIJER PHARMACY #180
  • Facility Address: 15000 US-31
    GRAND HAVEN, MI
    ZIP 49417
  • Facility Phone: 616 847-8010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1083764054
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1008363
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #180
Street 15000 US-31
City GRAND HAVEN
State MI
ZIP 49417
Phone 616 847-8010
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