15D2037701 CLIA NUMBER - WALGREENS #07418

Laboratory Demographics

  • CLIA Code: 15D2037701
  • Facility Name: WALGREENS #07418
  • Facility Address: 1207 S HEATON ST
    KNOX, IN
    ZIP 46534
  • Facility Phone: 574 772-4529
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. LARK
  • NPI Number: 1679588792
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2037701
LAB Type Pharmacy
Facility Name WALGREENS #07418
Street 1207 S HEATON ST
City KNOX
State IN
ZIP 46534
Phone 574 772-4529
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 JOSEPH A. LARK

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