23D1008392 CLIA NUMBER - MEIJER PHARMACY #109

Laboratory Demographics

  • CLIA Code: 23D1008392
  • Facility Name: MEIJER PHARMACY #109
  • Facility Address: 1703 HAGGERTY ROAD
    COMMERCE, MI
    ZIP 48390
  • Facility Phone: 248 960-7171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON BEAUCH
  • NPI Number: 1942365739
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1008392
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #109
Street 1703 HAGGERTY ROAD
City COMMERCE
State MI
ZIP 48390
Phone 248 960-7171
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 JASON BEAUCH

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