52D2114691 CLIA NUMBER - MEIJER PHARMACY #276

Laboratory Demographics

CLIA Number: 52D2114691

Facility Name: MEIJER PHARMACY #276

Facility Address:
801 E SUNSET DR
WAUKESHA, WI
ZIP 53189
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Facility Phone Number: 262 899-6010

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1942664503

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	52D2114691
LAB Type	Pharmacy
Facility Name	MEIJER PHARMACY #276
Street	801 E SUNSET DR
City	WAUKESHA
State	WI
ZIP	53189
Phone	262 899-6010
CertificateType	4
CertificateEffectiveDate	6/20/2022
CertificateExpirationDate	6/19/2024
FacilityType	Waiver

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