15D0683055 CLIA NUMBER - PHILLIPS DRUGS EAST

Laboratory Demographics

  • CLIA Code: 15D0683055
  • Facility Name: PHILLIPS DRUGS EAST
  • Facility Address: 1626 E MAIN ST
    RICHMOND, IN
    ZIP 47374
  • Facility Phone: 765 966-2225
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. RAY ZALESKI
  • NPI Number: 1598765075
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D0683055
LAB Type Pharmacy
Facility Name PHILLIPS DRUGS EAST
Street 1626 E MAIN ST
City RICHMOND
State IN
ZIP 47374
Phone 765 966-2225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Pharmacy
Lab Director MR. RAY ZALESKI

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