15D2053407 CLIA NUMBER - WALGREENS #10974

Laboratory Demographics

  • CLIA Code: 15D2053407
  • Facility Name: WALGREENS #10974
  • Facility Address: 2800 US HWY 231 S
    LAFAYETTE, IN
    ZIP 47909
  • Facility Phone: 765 471-1013
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GEORGE A. STRICKLER
  • NPI Number: 1912189259
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2053407
LAB Type Pharmacy
Facility Name WALGREENS #10974
Street 2800 US HWY 231 S
City LAFAYETTE
State IN
ZIP 47909
Phone 765 471-1013
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 GEORGE A. STRICKLER

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