36D2160752 CLIA NUMBER - MEIJER PHARMACY #307

Laboratory Demographics

CLIA Number: 36D2160752

Facility Name: MEIJER PHARMACY #307

Facility Address:
4303 KENT RD
STOW, OH
ZIP 44224
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Facility Phone Number: 234 900-5710

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1558825786

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	36D2160752
LAB Type	Pharmacy
Facility Name	MEIJER PHARMACY #307
Street	4303 KENT RD
City	STOW
State	OH
ZIP	44224
Phone	234 900-5710
CertificateType	4
CertificateEffectiveDate	1/17/2023
CertificateExpirationDate	1/16/2025
FacilityType	Waiver

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