23D1008404 CLIA NUMBER - MEIJER PHARMACY #67

Laboratory Demographics

  • CLIA Code: 23D1008404
  • Facility Name: MEIJER PHARMACY #67
  • Facility Address: 1700 TELEGRAPH ROAD
    MONROE, MI
    ZIP 48162
  • Facility Phone: 734 457-1925
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1316087745
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1008404
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #67
Street 1700 TELEGRAPH ROAD
City MONROE
State MI
ZIP 48162
Phone 734 457-1925
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