15D2037742 CLIA NUMBER - WALGREENS 02467

Laboratory Demographics

  • CLIA Code: 15D2037742
  • Facility Name: WALGREENS 02467
  • Facility Address: 2012 N WAYNE ST
    ANGOLA, IN
    ZIP 46703
  • Facility Phone: 260 665-5560
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOELLE K. EAGER
  • NPI Number: 1245245398
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2037742
LAB Type Pharmacy
Facility Name WALGREENS 02467
Street 2012 N WAYNE ST
City ANGOLA
State IN
ZIP 46703
Phone 260 665-5560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director JOELLE K. EAGER

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