15D2011017 CLIA NUMBER - WALGREENS 06100

Laboratory Demographics

  • CLIA Code: 15D2011017
  • Facility Name: WALGREENS 06100
  • Facility Address: 2811 HOLMANS LN
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 288-9287
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT C. BRYANT
  • NPI Number: 1104831221
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2011017
LAB Type Pharmacy
Facility Name WALGREENS 06100
Street 2811 HOLMANS LN
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 288-9287
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 SCOTT C. BRYANT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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