15D2011027 CLIA NUMBER - WALGREENS 10559

Laboratory Demographics

  • CLIA Code: 15D2011027
  • Facility Name: WALGREENS 10559
  • Facility Address: 1716 HIGHWAY 337 NW
    CORYDON, IN
    ZIP 47112
  • Facility Phone: 812 738-1078
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN L. TARR
  • NPI Number: 1740489525
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2011027
LAB Type Pharmacy
Facility Name WALGREENS 10559
Street 1716 HIGHWAY 337 NW
City CORYDON
State IN
ZIP 47112
Phone 812 738-1078
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 RYAN L. TARR

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