23D2100808 CLIA NUMBER - MEIJER PHARMACY #236

Laboratory Demographics

  • CLIA Code: 23D2100808
  • Facility Name: MEIJER PHARMACY #236
  • Facility Address: 4900 M 72 E
    WILLIAMSBURG, MI
    ZIP 49690
  • Facility Phone: 231 534-9810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE S. MORSE
  • NPI Number: 1760858500
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2100808
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #236
Street 4900 M 72 E
City WILLIAMSBURG
State MI
ZIP 49690
Phone 231 534-9810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Pharmacy
Lab Director JACQUELINE S. MORSE

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