15D2011022 CLIA NUMBER - WALGREENS 06906

Laboratory Demographics

  • CLIA Code: 15D2011022
  • Facility Name: WALGREENS 06906
  • Facility Address: 6097 BROADWAY
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 980-5223
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILL S. OBRIEN
  • NPI Number: 1649285750
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2011022
LAB Type Pharmacy
Facility Name WALGREENS 06906
Street 6097 BROADWAY
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 980-5223
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 JILL S. OBRIEN

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