15D0986737 CLIA NUMBER - WALGREENS #07618

Laboratory Demographics

  • CLIA Code: 15D0986737
  • Facility Name: WALGREENS #07618
  • Facility Address: 14625 N GRAY RD
    WESTFIELD, IN
    ZIP 46062
  • Facility Phone: 317 815-6619
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH SMITH
  • NPI Number: 1497786578
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D0986737
LAB Type Pharmacy
Facility Name WALGREENS #07618
Street 14625 N GRAY RD
City WESTFIELD
State IN
ZIP 46062
Phone 317 815-6619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director ELIZABETH SMITH

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