36D1008727 CLIA NUMBER - MEIJER PHARMACY #103

Laboratory Demographics

  • CLIA Code: 36D1008727
  • Facility Name: MEIJER PHARMACY #103
  • Facility Address: 5858 SPRINGBORO PIKE
    DAYTON, OH
    ZIP 45449
  • Facility Phone: 937 436-4544
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1760547525
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1008727
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #103
Street 5858 SPRINGBORO PIKE
City DAYTON
State OH
ZIP 45449
Phone 937 436-4544
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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