23D2074357 CLIA NUMBER - MEIJER PHARMACY #271

Laboratory Demographics

  • CLIA Code: 23D2074357
  • Facility Name: MEIJER PHARMACY #271
  • Facility Address: 1223 PHOENIX STREET
    SOUTH HAVEN, MI
    ZIP 49090
  • Facility Phone: 269 639-3510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1881010205
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2074357
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #271
Street 1223 PHOENIX STREET
City SOUTH HAVEN
State MI
ZIP 49090
Phone 269 639-3510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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