15D2011468 CLIA NUMBER - WALGREENS #03142

Laboratory Demographics

  • CLIA Code: 15D2011468
  • Facility Name: WALGREENS #03142
  • Facility Address: 3455 MANN RD
    INDIANAPOLIS, IN
    ZIP 46221
  • Facility Phone: 317 487-0722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LOGAN J. SCHWERER
  • NPI Number: 1578578605
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2011468
LAB Type Pharmacy
Facility Name WALGREENS #03142
Street 3455 MANN RD
City INDIANAPOLIS
State IN
ZIP 46221
Phone 317 487-0722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director LOGAN J. SCHWERER

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