15D2031935 CLIA NUMBER - WALGREENS #01444

Laboratory Demographics

  • CLIA Code: 15D2031935
  • Facility Name: WALGREENS #01444
  • Facility Address: 1130 N LEBANON ST
    LEBANON, IN
    ZIP 46052
  • Facility Phone: 765 482-3240
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. SPILLNER
  • NPI Number: 1154336204
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2031935
LAB Type Pharmacy
Facility Name WALGREENS #01444
Street 1130 N LEBANON ST
City LEBANON
State IN
ZIP 46052
Phone 765 482-3240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director MICHAEL A. SPILLNER

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