23D1008439 CLIA NUMBER - MEIJER PHARMACY #54

Laboratory Demographics

  • CLIA Code: 23D1008439
  • Facility Name: MEIJER PHARMACY #54
  • Facility Address: 20401 HAGGERTY RD
    NORTHVILLE, MI
    ZIP 48167
  • Facility Phone: 248 349-2707
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1043350523
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1008439
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #54
Street 20401 HAGGERTY RD
City NORTHVILLE
State MI
ZIP 48167
Phone 248 349-2707
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