23D1008365 CLIA NUMBER - MEIJER PHARMACY #179

Laboratory Demographics

  • CLIA Code: 23D1008365
  • Facility Name: MEIJER PHARMACY #179
  • Facility Address: 620 E CHICAGO RD
    COLDWATER, MI
    ZIP 49036
  • Facility Phone: 517 279-3310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1023030897
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1008365
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #179
Street 620 E CHICAGO RD
City COLDWATER
State MI
ZIP 49036
Phone 517 279-3310
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