23D2177207 CLIA NUMBER - MEIJER PHARMACY #315

Laboratory Demographics

CLIA Number: 23D2177207

Facility Name: MEIJER PHARMACY #315

Facility Address:
100 PIGEON ROAD
BAD AXE, MI
ZIP 48413
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Facility Phone Number: 989 623-1442

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1568093995

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	23D2177207
LAB Type	Pharmacy
Facility Name	MEIJER PHARMACY #315
Street	100 PIGEON ROAD
City	BAD AXE
State	MI
ZIP	48413
Phone	989 623-1442
CertificateType	4
CertificateEffectiveDate	1/7/2024
CertificateExpirationDate	1/6/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024