23D1008412 CLIA NUMBER - MEIJER PHARMACY #57

Laboratory Demographics

  • CLIA Code: 23D1008412
  • Facility Name: MEIJER PHARMACY #57
  • Facility Address: 3175 ROCHESTER ROAD
    ROCHESTER, MI
    ZIP 48306
  • Facility Phone: 248 853-2180
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1528108743
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1008412
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #57
Street 3175 ROCHESTER ROAD
City ROCHESTER
State MI
ZIP 48306
Phone 248 853-2180
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