15D2011432 CLIA NUMBER - WALGREENS #05393

Laboratory Demographics

  • CLIA Code: 15D2011432
  • Facility Name: WALGREENS #05393
  • Facility Address: 20 S MORTON ST
    FRANKLIN, IN
    ZIP 46131
  • Facility Phone: 317 736-8089
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDRIA N. CRUMBLE
  • NPI Number: 1043225188
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2011432
LAB Type Pharmacy
Facility Name WALGREENS #05393
Street 20 S MORTON ST
City FRANKLIN
State IN
ZIP 46131
Phone 317 736-8089
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director ALEXANDRIA N. CRUMBLE

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