15D2011433 CLIA NUMBER - WALGREENS #15334

Laboratory Demographics

  • CLIA Code: 15D2011433
  • Facility Name: WALGREENS #15334
  • Facility Address: 1424 SOUTH RANGELINE ROAD
    CARMEL, IN
    ZIP 46032
  • Facility Phone: 317 571-1176
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: LISA MABIE
  • NPI Number: 1962417006
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2011433
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #15334
Street 1424 SOUTH RANGELINE ROAD
City CARMEL
State IN
ZIP 46032
Phone 317 571-1176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director LISA MABIE

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