52D2161661 CLIA NUMBER - MEIJER PHARMACY #305

Laboratory Demographics

  • CLIA Code: 52D2161661
  • Facility Name: MEIJER PHARMACY #305
  • Facility Address: 924 N TAYLOR DR
    SHEBOYGAN, WI
    ZIP 53081
  • Facility Phone: 920 547-2610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1871066175
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2161661
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #305
Street 924 N TAYLOR DR
City SHEBOYGAN
State WI
ZIP 53081
Phone 920 547-2610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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