15D2011535 CLIA NUMBER - WALGREENS #03352

Laboratory Demographics

  • CLIA Code: 15D2011535
  • Facility Name: WALGREENS #03352
  • Facility Address: 6905 KENNEDY AVE
    HAMMOND, IN
    ZIP 46323
  • Facility Phone: 219 844-5034
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GEORGE S. MARROS
  • NPI Number: 1396750410
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2011535
LAB Type Pharmacy
Facility Name WALGREENS #03352
Street 6905 KENNEDY AVE
City HAMMOND
State IN
ZIP 46323
Phone 219 844-5034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director GEORGE S. MARROS

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