15D2007723 CLIA NUMBER - WALGREENS #10973

Laboratory Demographics

  • CLIA Code: 15D2007723
  • Facility Name: WALGREENS #10973
  • Facility Address: 1530 N MERIDIAN ST
    INDIANAPOLIS, IN
    ZIP 46202
  • Facility Phone: 317 261-1753
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA M. CHONG
  • NPI Number: 1942215074
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2007723
LAB Type Pharmacy
Facility Name WALGREENS #10973
Street 1530 N MERIDIAN ST
City INDIANAPOLIS
State IN
ZIP 46202
Phone 317 261-1753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Pharmacy
Lab Director ANNA M. CHONG

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