15D2018768 CLIA NUMBER - WALGREENS #09644

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Laboratory Demographics

CLIA Number: 15D2018768

Facility Name: WALGREENS #09644

Facility Address:
555 WESTFIELD RD
NOBLESVILLE, IN
ZIP 46060
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Facility Phone Number: 317 774-8346

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1649285958

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	15D2018768
LAB Type	Pharmacy
Facility Name	WALGREENS #09644
Street	555 WESTFIELD RD
City	NOBLESVILLE
State	IN
ZIP	46060
Phone	317 774-8346
CertificateType	4
CertificateEffectiveDate	7/20/2023
CertificateExpirationDate	7/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024