15D2038367 CLIA NUMBER - WALGREENS #11882

Laboratory Demographics

  • CLIA Code: 15D2038367
  • Facility Name: WALGREENS #11882
  • Facility Address: 1915 W BROADWAY ST
    PRINCETON, IN
    ZIP 47670
  • Facility Phone: 812 385-3296
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBYN M. HUGHES
  • NPI Number: 1346481546
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2038367
LAB Type Pharmacy
Facility Name WALGREENS #11882
Street 1915 W BROADWAY ST
City PRINCETON
State IN
ZIP 47670
Phone 812 385-3296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Pharmacy
Lab Director ROBYN M. HUGHES

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