15D2018769 CLIA NUMBER - WALGREENS #10534

Laboratory Demographics

  • CLIA Code: 15D2018769
  • Facility Name: WALGREENS #10534
  • Facility Address: 1939 INDIANAPOLIS BLVD
    WHITING, IN
    ZIP 46394
  • Facility Phone: 219 659-3541
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN DANIELSON
  • NPI Number: 1497760516
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2018769
LAB Type Pharmacy
Facility Name WALGREENS #10534
Street 1939 INDIANAPOLIS BLVD
City WHITING
State IN
ZIP 46394
Phone 219 659-3541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director SUSAN DANIELSON

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