36D2177819 CLIA NUMBER - MEIJER PHARMACY #317

Laboratory Demographics

  • CLIA Code: 36D2177819
  • Facility Name: MEIJER PHARMACY #317
  • Facility Address: 247 TALLMADGE RD
    KENT, OH
    ZIP 44240
  • Facility Phone: 330 977-5610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1215569256
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2177819
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #317
Street 247 TALLMADGE RD
City KENT
State OH
ZIP 44240
Phone 330 977-5610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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