23D2146230 CLIA NUMBER - MEIJER PHARMACY #254

Laboratory Demographics

  • CLIA Code: 23D2146230
  • Facility Name: MEIJER PHARMACY #254
  • Facility Address: 4075 32ND AVENUE
    HUDSONVILLE, MI
    ZIP 49426
  • Facility Phone: 616 229-9410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE J. MORSE
  • NPI Number: 1114428729
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2146230
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #254
Street 4075 32ND AVENUE
City HUDSONVILLE
State MI
ZIP 49426
Phone 616 229-9410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Pharmacy
Lab Director JACQUELINE J. MORSE

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