23D2126657 CLIA NUMBER - MEIJER PHARMACY #293

Laboratory Demographics

  • CLIA Code: 23D2126657
  • Facility Name: MEIJER PHARMACY #293
  • Facility Address: 1138 W THREE MILE ROAD
    SAULT SAINTE MARIE, MI
    ZIP 49783
  • Facility Phone: 906 253-2810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1750826525
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2126657
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #293
Street 1138 W THREE MILE ROAD
City SAULT SAINTE MARIE
State MI
ZIP 49783
Phone 906 253-2810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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