15D1098377 CLIA NUMBER - WALGREENS #10340

Laboratory Demographics

  • CLIA Code: 15D1098377
  • Facility Name: WALGREENS #10340
  • Facility Address: 3606 N NEWTON ST
    JASPER, IN
    ZIP 47546
  • Facility Phone: 812 481-1513
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEIDI C. BARRETT
  • NPI Number: 1962583138
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1098377
LAB Type Pharmacy
Facility Name WALGREENS #10340
Street 3606 N NEWTON ST
City JASPER
State IN
ZIP 47546
Phone 812 481-1513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Pharmacy
Lab Director HEIDI C. BARRETT

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