15D2053411 CLIA NUMBER - WALGREENS #07443

Laboratory Demographics

  • CLIA Code: 15D2053411
  • Facility Name: WALGREENS #07443
  • Facility Address: 3603 S US HIGHWAY 41
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone: 812 235-4864
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA LEE
  • NPI Number: 1790790848
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2053411
LAB Type Pharmacy
Facility Name WALGREENS #07443
Street 3603 S US HIGHWAY 41
City TERRE HAUTE
State IN
ZIP 47802
Phone 812 235-4864
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 REBECCA LEE

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