15D2025047 CLIA NUMBER - WALGREENS #04447

Laboratory Demographics

  • CLIA Code: 15D2025047
  • Facility Name: WALGREENS #04447
  • Facility Address: 1702 E SPRING ST
    NEW ALBANY, IN
    ZIP 47150
  • Facility Phone: 812 949-5015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL R. LYNN
  • NPI Number: 1134136138
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2025047
LAB Type Pharmacy
Facility Name WALGREENS #04447
Street 1702 E SPRING ST
City NEW ALBANY
State IN
ZIP 47150
Phone 812 949-5015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Pharmacy
Lab Director DANIEL R. LYNN

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