15D0953364 CLIA NUMBER - FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 15D0953364
  • Facility Name: FAMILY PHARMACY
  • Facility Address: 508 WEST ELEVENTH ST
    BICKNELL, IN
    ZIP 47512
  • Facility Phone: 812 735-4444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STANLEY D. DEWEESE
  • NPI Number: 1114088911
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D0953364
LAB Type Pharmacy
Facility Name FAMILY PHARMACY
Street 508 WEST ELEVENTH ST
City BICKNELL
State IN
ZIP 47512
Phone 812 735-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Pharmacy
Lab Director STANLEY D. DEWEESE

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