15D2011466 CLIA NUMBER - WALGREENS #11248

Laboratory Demographics

  • CLIA Code: 15D2011466
  • Facility Name: WALGREENS #11248
  • Facility Address: 3545 W 86TH ST
    INDIANAPOLIS, IN
    ZIP 46268
  • Facility Phone: 317 228-0419
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GUHAN CHARI
  • NPI Number: 1487669511
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2011466
LAB Type Pharmacy
Facility Name WALGREENS #11248
Street 3545 W 86TH ST
City INDIANAPOLIS
State IN
ZIP 46268
Phone 317 228-0419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Pharmacy
Lab Director GUHAN CHARI

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