15D2011533 CLIA NUMBER - WALGREENS #03680

Laboratory Demographics

  • CLIA Code: 15D2011533
  • Facility Name: WALGREENS #03680
  • Facility Address: 1903 CALUMET AVE
    VALPARAISO, IN
    ZIP 46383
  • Facility Phone: 219 462-6172
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOYCE A. ROBINSON
  • NPI Number: 1760497887
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2011533
LAB Type Pharmacy
Facility Name WALGREENS #03680
Street 1903 CALUMET AVE
City VALPARAISO
State IN
ZIP 46383
Phone 219 462-6172
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 JOYCE A. ROBINSON

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