23D1041793 CLIA NUMBER - MEIJER PHARMACY #303

Laboratory Demographics

  • CLIA Code: 23D1041793
  • Facility Name: MEIJER PHARMACY #303
  • Facility Address: 2770 S STATE ROAD
    IONIA, MI
    ZIP 48846
  • Facility Phone: 616 527-4390
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1639234552
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1041793
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #303
Street 2770 S STATE ROAD
City IONIA
State MI
ZIP 48846
Phone 616 527-4390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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