15D2037700 CLIA NUMBER - WALGREENS #07472

Laboratory Demographics

  • CLIA Code: 15D2037700
  • Facility Name: WALGREENS #07472
  • Facility Address: 1975 N MAIN ST
    BLUFFTON, IN
    ZIP 46714
  • Facility Phone: 260 824-1643
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK W. TOETZ
  • NPI Number: 1952316085
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2037700
LAB Type Pharmacy
Facility Name WALGREENS #07472
Street 1975 N MAIN ST
City BLUFFTON
State IN
ZIP 46714
Phone 260 824-1643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director MARK W. TOETZ

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