15D2011418 CLIA NUMBER - WALGREENS #02956

Laboratory Demographics

  • CLIA Code: 15D2011418
  • Facility Name: WALGREENS #02956
  • Facility Address: 1808 ALBANY ST
    BEECH GROVE, IN
    ZIP 46107
  • Facility Phone: 317 786-1031
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC M. FISHER
  • NPI Number: 1114932241
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2011418
LAB Type Pharmacy
Facility Name WALGREENS #02956
Street 1808 ALBANY ST
City BEECH GROVE
State IN
ZIP 46107
Phone 317 786-1031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Pharmacy
Lab Director ERIC M. FISHER

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