15D2037685 CLIA NUMBER - WALGREENS #10939

Laboratory Demographics

  • CLIA Code: 15D2037685
  • Facility Name: WALGREENS #10939
  • Facility Address: 4828 DAVIS LANT DR
    EVANSVILLE, IN
    ZIP 47715
  • Facility Phone: 812 475-9541
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANITHA JWALANAIAH
  • NPI Number: 1588861850
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2037685
LAB Type Pharmacy
Facility Name WALGREENS #10939
Street 4828 DAVIS LANT DR
City EVANSVILLE
State IN
ZIP 47715
Phone 812 475-9541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Pharmacy
Lab Director ANITHA JWALANAIAH

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