15D1101995 CLIA NUMBER - WALGREENS 03530

Laboratory Demographics

  • CLIA Code: 15D1101995
  • Facility Name: WALGREENS 03530
  • Facility Address: 505 COLLEGE AVE
    VINCENNES, IN
    ZIP 47591
  • Facility Phone: 812 882-3896
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLA K. STRINGER
  • NPI Number: 1821003930
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1101995
LAB Type Pharmacy
Facility Name WALGREENS 03530
Street 505 COLLEGE AVE
City VINCENNES
State IN
ZIP 47591
Phone 812 882-3896
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director KYLA K. STRINGER

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