15D0928836 CLIA NUMBER - SALEM APOTHECARY INC

Laboratory Demographics

  • CLIA Code: 15D0928836
  • Facility Name: SALEM APOTHECARY INC
  • Facility Address: 3 PUBLIC SQ
    SALEM, IN
    ZIP 47167
  • Facility Phone: 812 883-4500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA C. MARSHALL
  • NPI Number: 1114984473
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0928836
LAB Type Pharmacy
Facility Name SALEM APOTHECARY INC
Street 3 PUBLIC SQ
City SALEM
State IN
ZIP 47167
Phone 812 883-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Pharmacy
Lab Director REBECCA C. MARSHALL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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