15D2037711 CLIA NUMBER - WALGREENS #03442

Laboratory Demographics

  • CLIA Code: 15D2037711
  • Facility Name: WALGREENS #03442
  • Facility Address: 7506 N SHADELAND AVE
    INDIANAPOLIS, IN
    ZIP 46250
  • Facility Phone: 317 595-8964
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MISTRY SHEETAL
  • NPI Number: 1235144379
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2037711
LAB Type Pharmacy
Facility Name WALGREENS #03442
Street 7506 N SHADELAND AVE
City INDIANAPOLIS
State IN
ZIP 46250
Phone 317 595-8964
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2023
Certificate Expiration Date 7/19/2025
Facility Type Pharmacy
Lab Director MISTRY SHEETAL

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This page was last updated on: 6/4/2025