15D2030272 CLIA NUMBER - WALGREENS #07926

Laboratory Demographics

  • CLIA Code: 15D2030272
  • Facility Name: WALGREENS #07926
  • Facility Address: 5190 CHARLESTOWN RD
    NEW ALBANY, IN
    ZIP 47150
  • Facility Phone: 812 944-3752
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINE L. MASON
  • NPI Number: 1861409807
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2030272
LAB Type Pharmacy
Facility Name WALGREENS #07926
Street 5190 CHARLESTOWN RD
City NEW ALBANY
State IN
ZIP 47150
Phone 812 944-3752
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Pharmacy
Lab Director CHRISTINE L. MASON

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