15D2011453 CLIA NUMBER - WALGREENS #07906

Laboratory Demographics

  • CLIA Code: 15D2011453
  • Facility Name: WALGREENS #07906
  • Facility Address: 2400 E CENTER ST
    WARSAW, IN
    ZIP 46580
  • Facility Phone: 574 269-4003
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. HOOVER
  • NPI Number: 1427063577
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2011453
LAB Type Pharmacy
Facility Name WALGREENS #07906
Street 2400 E CENTER ST
City WARSAW
State IN
ZIP 46580
Phone 574 269-4003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director JENNIFER L. HOOVER

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