36D1008707 CLIA NUMBER - MEIJER PHARMACY #157

Laboratory Demographics

  • CLIA Code: 36D1008707
  • Facility Name: MEIJER PHARMACY #157
  • Facility Address: 1082 SR 28
    MILFORD, OH
    ZIP 45150
  • Facility Phone: 513 576-5510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1760531362
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1008707
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #157
Street 1082 SR 28
City MILFORD
State OH
ZIP 45150
Phone 513 576-5510
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