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36D1028267 CLIA NUMBER - MEIJER PHARMACY #211

Laboratory Demographics

CLIA Number: 36D1028267

Facility Name: MEIJER PHARMACY #211

Facility Address:
10055 OLDE US 20
ROSSFORD, OH
ZIP 43460
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Facility Phone Number: 419 873-4164

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1629133566

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 36D1028267
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #211
Street 10055 OLDE US 20
City ROSSFORD
State OH
ZIP 43460
Phone 419 873-4164
CertificateType 4
CertificateEffectiveDate 7/21/2022
CertificateExpirationDate 7/20/2024
FacilityType Waiver

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