36D1008713 CLIA NUMBER - MEIJER PHARMACY #126

Laboratory Demographics

  • CLIA Code: 36D1008713
  • Facility Name: MEIJER PHARMACY #126
  • Facility Address: 1355 N LEXINGTON-SPRINGMILL ROAD
    MANSFIELD, OH
    ZIP 44906
  • Facility Phone: 419 747-8310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1215086632
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1008713
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #126
Street 1355 N LEXINGTON-SPRINGMILL ROAD
City MANSFIELD
State OH
ZIP 44906
Phone 419 747-8310
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