15D2053405 CLIA NUMBER - WALGREENS #12151

Laboratory Demographics

  • CLIA Code: 15D2053405
  • Facility Name: WALGREENS #12151
  • Facility Address: 7235 W 10TH STREET
    INDIANAPOLIS, IN
    ZIP 46214
  • Facility Phone: 317 487-9250
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLYN H. NGUYEN
  • NPI Number: 1588679617
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2053405
LAB Type Pharmacy
Facility Name WALGREENS #12151
Street 7235 W 10TH STREET
City INDIANAPOLIS
State IN
ZIP 46214
Phone 317 487-9250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Pharmacy
Lab Director CAROLYN H. NGUYEN

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