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36D1008726 CLIA NUMBER - MEIJER PHARMACY #104

Laboratory Demographics

CLIA Number: 36D1008726

Facility Name: MEIJER PHARMACY #104

Facility Address:
1661 HILLIARD ROME ROAD
COLUMBUS, OH
ZIP 43228
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Facility Phone Number: 614 771-9200

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1295822443

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 36D1008726
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #104
Street 1661 HILLIARD ROME ROAD
City COLUMBUS
State OH
ZIP 43228
Phone 614 771-9200
CertificateType 4
CertificateEffectiveDate 1/27/2023
CertificateExpirationDate 1/26/2025
FacilityType Waiver

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