23D1008643 CLIA NUMBER - MEIJER PHARMACY #205

Laboratory Demographics

  • CLIA Code: 23D1008643
  • Facility Name: MEIJER PHARMACY #205
  • Facility Address: 11901 FULTON STREET
    LOWELL, MI
    ZIP 49331
  • Facility Phone: 616 897-4710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1548309800
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1008643
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #205
Street 11901 FULTON STREET
City LOWELL
State MI
ZIP 49331
Phone 616 897-4710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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