52D2126973 CLIA NUMBER - MEIJER PHARMACY #292

Laboratory Demographics

  • CLIA Code: 52D2126973
  • Facility Name: MEIJER PHARMACY #292
  • Facility Address: 5800 W LAYTON
    GREENFIELD, WI
    ZIP 53220
  • Facility Phone: 414 304-2010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1891230652
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2126973
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #292
Street 5800 W LAYTON
City GREENFIELD
State WI
ZIP 53220
Phone 414 304-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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