36D1008717 CLIA NUMBER - MEIJER PHARMACY #115

Laboratory Demographics

  • CLIA Code: 36D1008717
  • Facility Name: MEIJER PHARMACY #115
  • Facility Address: 1391 CONANT STREET
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: 419 891-8710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1114014362
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1008717
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #115
Street 1391 CONANT STREET
City MAUMEE
State OH
ZIP 43537
Phone 419 891-8710
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