15D2037707 CLIA NUMBER - WALGREENS #03502

Laboratory Demographics

  • CLIA Code: 15D2037707
  • Facility Name: WALGREENS #03502
  • Facility Address: 907 LINCOLN HWY W
    NEW HAVEN, IN
    ZIP 46774
  • Facility Phone: 260 493-3736
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSS M. LOEFFLER
  • NPI Number: 1558376665
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2037707
LAB Type Pharmacy
Facility Name WALGREENS #03502
Street 907 LINCOLN HWY W
City NEW HAVEN
State IN
ZIP 46774
Phone 260 493-3736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Pharmacy
Lab Director ROSS M. LOEFFLER

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