23D1051879 CLIA NUMBER - MEIJER PHARMACY #210

Laboratory Demographics

  • CLIA Code: 23D1051879
  • Facility Name: MEIJER PHARMACY #210
  • Facility Address: 730 E SAGINAW HWY
    GRAND LEDGE, MI
    ZIP 48837
  • Facility Phone: 517 622-6810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1285773226
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1051879
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #210
Street 730 E SAGINAW HWY
City GRAND LEDGE
State MI
ZIP 48837
Phone 517 622-6810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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