15D2011462 CLIA NUMBER - WALGREENS #07736

Laboratory Demographics

  • CLIA Code: 15D2011462
  • Facility Name: WALGREENS #07736
  • Facility Address: 110 W MARKET ST
    CRAWFORDSVILLE, IN
    ZIP 47933
  • Facility Phone: 765 361-9445
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW S. SHORT
  • NPI Number: 1063427110
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2011462
LAB Type Pharmacy
Facility Name WALGREENS #07736
Street 110 W MARKET ST
City CRAWFORDSVILLE
State IN
ZIP 47933
Phone 765 361-9445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director MATTHEW S. SHORT

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