15D2018768 CLIA NUMBER - WALGREENS #09644

Laboratory Demographics

  • CLIA Code: 15D2018768
  • Facility Name: WALGREENS #09644
  • Facility Address: 555 WESTFIELD RD
    NOBLESVILLE, IN
    ZIP 46060
  • Facility Phone: 317 774-8346
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. GILLIG
  • NPI Number: 1649285958
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director MICHAEL L. GILLIG

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