52D2096929 CLIA NUMBER - MEIJER PHARMACY #283

Laboratory Demographics

  • CLIA Code: 52D2096929
  • Facility Name: MEIJER PHARMACY #283
  • Facility Address: 171 W TOWN SQUARE WAY
    OAK CREEK, WI
    ZIP 53154
  • Facility Phone: (414) 501-1710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1003296518
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2096929
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #283
Street 171 W TOWN SQUARE WAY
City OAK CREEK
State WI
ZIP 53154
Phone 4145011710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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This page was last updated on: 6/29/2026