15D1065279 CLIA NUMBER - PAYLESS PHARMACY

Laboratory Demographics

  • CLIA Code: 15D1065279
  • Facility Name: PAYLESS PHARMACY
  • Facility Address: 2200 GREENBUSH ST
    LAFAYETTE, IN
    ZIP 47904
  • Facility Phone: 765 448-9159
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARLEE THOMPSON
  • NPI Number: 1659437929
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1065279
LAB Type Pharmacy
Facility Name PAYLESS PHARMACY
Street 2200 GREENBUSH ST
City LAFAYETTE
State IN
ZIP 47904
Phone 765 448-9159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Pharmacy
Lab Director CARLEE THOMPSON

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