23D1008368 CLIA NUMBER - MEIJER PHARMACY #174

Laboratory Demographics

  • CLIA Code: 23D1008368
  • Facility Name: MEIJER PHARMACY #174
  • Facility Address: 550 HULL RD
    MASON, MI
    ZIP 48854
  • Facility Phone: 517 244-1910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1043360340
  • Taxonomy: 3336C0003X - Pharmacy

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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
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