15D2011451 CLIA NUMBER - WALGREENS # 10184

Laboratory Demographics

  • CLIA Code: 15D2011451
  • Facility Name: WALGREENS # 10184
  • Facility Address: 1351 N IRONWOOD DR
    SOUTH BEND, IN
    ZIP 46615
  • Facility Phone: 574 234-5046
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH BOWMAN
  • NPI Number: 1255435640
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2011451
LAB Type Pharmacy
Facility Name WALGREENS # 10184
Street 1351 N IRONWOOD DR
City SOUTH BEND
State IN
ZIP 46615
Phone 574 234-5046
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 ELIZABETH BOWMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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