23D2093155 CLIA NUMBER - MEIJER PHARMACY #279

Laboratory Demographics

  • CLIA Code: 23D2093155
  • Facility Name: MEIJER PHARMACY #279
  • Facility Address: 15 CABERFAE HIGHWAY M-55
    MANISTEE, MI
    ZIP 49660
  • Facility Phone: 231 887-5210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1265825574
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2093155
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #279
Street 15 CABERFAE HIGHWAY M-55
City MANISTEE
State MI
ZIP 49660
Phone 231 887-5210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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