23D1008406 CLIA NUMBER - MEIJER PHARMACY #65

Laboratory Demographics

  • CLIA Code: 23D1008406
  • Facility Name: MEIJER PHARMACY #65
  • Facility Address: 15055 HALL ROAD
    UTICA, MI
    ZIP 48315
  • Facility Phone: 586 566-0420
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1669512174
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1008406
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #65
Street 15055 HALL ROAD
City UTICA
State MI
ZIP 48315
Phone 586 566-0420
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: 6/4/2025