23D1008657 CLIA NUMBER - MEIJER PHARMACY #30

Laboratory Demographics

  • CLIA Code: 23D1008657
  • Facility Name: MEIJER PHARMACY #30
  • Facility Address: 2777 AIRPORT ROAD
    JACKSON, MI
    ZIP 49202
  • Facility Phone: 517 787-3467
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1568501468
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1008657
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #30
Street 2777 AIRPORT ROAD
City JACKSON
State MI
ZIP 49202
Phone 517 787-3467
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