23D1008654 CLIA NUMBER - MEIJER, INC #27

Laboratory Demographics

  • CLIA Code: 23D1008654
  • Facility Name: MEIJER, INC #27
  • Facility Address: 3825 CARPENTER ROAD
    YPSILANTI, MI
    ZIP 48197
  • Facility Phone: 313 973-1210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1114066008
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1008654
LAB Type Pharmacy
Facility Name MEIJER, INC #27
Street 3825 CARPENTER ROAD
City YPSILANTI
State MI
ZIP 48197
Phone 313 973-1210
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