15D1077880 CLIA NUMBER - MEDICAP PHARMACY

Laboratory Demographics

  • CLIA Code: 15D1077880
  • Facility Name: MEDICAP PHARMACY
  • Facility Address: 1588 N STATE ST
    GREENFIELD, IN
    ZIP 46140
  • Facility Phone: 317 462-7877
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RILEY L. WARNER
  • NPI Number: 1801980214
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1077880
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY
Street 1588 N STATE ST
City GREENFIELD
State IN
ZIP 46140
Phone 317 462-7877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Pharmacy
Lab Director RILEY L. WARNER

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