15D2037730 CLIA NUMBER - WALGREENS #05141

Laboratory Demographics

  • CLIA Code: 15D2037730
  • Facility Name: WALGREENS #05141
  • Facility Address: 1302 W STATE ROAD 2
    LA PORTE, IN
    ZIP 46350
  • Facility Phone: 219 362-7009
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY C. JAMES
  • NPI Number: 1932114055
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2037730
LAB Type Pharmacy
Facility Name WALGREENS #05141
Street 1302 W STATE ROAD 2
City LA PORTE
State IN
ZIP 46350
Phone 219 362-7009
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 JEFFREY C. JAMES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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