15D2010988 CLIA NUMBER - WALGREENS #03488

Laboratory Demographics

  • CLIA Code: 15D2010988
  • Facility Name: WALGREENS #03488
  • Facility Address: 934 SPRING ST
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 283-1389
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEIDI C. BARRETT
  • NPI Number: 1710090113
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2010988
LAB Type Pharmacy
Facility Name WALGREENS #03488
Street 934 SPRING ST
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 283-1389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director HEIDI C. BARRETT

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