15D2037706 CLIA NUMBER - WALGREENS #05316

Laboratory Demographics

  • CLIA Code: 15D2037706
  • Facility Name: WALGREENS #05316
  • Facility Address: 906 MAIN ST
    ROCHESTER, IN
    ZIP 46975
  • Facility Phone: 574 223-3249
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA K. MABIE
  • NPI Number: 1669487781
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2037706
LAB Type Pharmacy
Facility Name WALGREENS #05316
Street 906 MAIN ST
City ROCHESTER
State IN
ZIP 46975
Phone 574 223-3249
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 LISA K. MABIE

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