23D1038203 CLIA NUMBER - MEIJER PHARMACY #217

Laboratory Demographics

  • CLIA Code: 23D1038203
  • Facility Name: MEIJER PHARMACY #217
  • Facility Address: 3320 W SHORE DRIVE
    HOLLAND, MI
    ZIP 49424
  • Facility Phone: 616 994-1110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1790840635
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1038203
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #217
Street 3320 W SHORE DRIVE
City HOLLAND
State MI
ZIP 49424
Phone 616 994-1110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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