23D1104693 CLIA NUMBER - MEIJER PHARMACY #245

Laboratory Demographics

  • CLIA Code: 23D1104693
  • Facility Name: MEIJER PHARMACY #245
  • Facility Address: 2160 HARTLAND ROAD
    HARTLAND, MI
    ZIP 48353
  • Facility Phone: 810 632-4210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1942431093
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D1104693
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #245
Street 2160 HARTLAND ROAD
City HARTLAND
State MI
ZIP 48353
Phone 810 632-4210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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