15D2037699 CLIA NUMBER - WALGREENS #07788

Laboratory Demographics

  • CLIA Code: 15D2037699
  • Facility Name: WALGREENS #07788
  • Facility Address: 320 S SCATTERFIELD RD
    ANDERSON, IN
    ZIP 46012
  • Facility Phone: 765 609-3780
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATIE D. TASCHLER
  • NPI Number: 1609881754
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2037699
LAB Type Pharmacy
Facility Name WALGREENS #07788
Street 320 S SCATTERFIELD RD
City ANDERSON
State IN
ZIP 46012
Phone 765 609-3780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director KATIE D. TASCHLER

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