36D2160755 CLIA NUMBER - MEIJER PHARMACY #308

Laboratory Demographics

  • CLIA Code: 36D2160755
  • Facility Name: MEIJER PHARMACY #308
  • Facility Address: 1810 NAGEL RD
    AVON, OH
    ZIP 44011
  • Facility Phone: 440 695-2450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1750845889
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2160755
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #308
Street 1810 NAGEL RD
City AVON
State OH
ZIP 44011
Phone 440 695-2450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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