36D1008706 CLIA NUMBER - MEIJER PHARMACY #159

Laboratory Demographics

  • CLIA Code: 36D1008706
  • Facility Name: MEIJER PHARMACY #159
  • Facility Address: 6325 SOUTH GILMORE ROAD
    FAIRFIELD, OH
    ZIP 45014
  • Facility Phone: 513 881-0110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1356490965
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1008706
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #159
Street 6325 SOUTH GILMORE ROAD
City FAIRFIELD
State OH
ZIP 45014
Phone 513 881-0110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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