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23D1008368 CLIA NUMBER - MEIJER PHARMACY #174

Laboratory Demographics

CLIA Number: 23D1008368

Facility Name: MEIJER PHARMACY #174

Facility Address:
550 HULL RD
MASON, MI
ZIP 48854
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Facility Phone Number: 517 244-1910

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1043360340

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 23D1008368
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #174
Street 550 HULL RD
City MASON
State MI
ZIP 48854
Phone 517 244-1910
CertificateType 4
CertificateEffectiveDate 1/21/2023
CertificateExpirationDate 1/20/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024