15D2053413 CLIA NUMBER - WALGREENS 15181

Laboratory Demographics

  • CLIA Code: 15D2053413
  • Facility Name: WALGREENS 15181
  • Facility Address: 200 S FORD RD
    ZIONSVILLE, IN
    ZIP 46077
  • Facility Phone: 317 733-8732
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KILEY JS STRAKIS
  • NPI Number: 1376892554
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2053413
LAB Type Pharmacy
Facility Name WALGREENS 15181
Street 200 S FORD RD
City ZIONSVILLE
State IN
ZIP 46077
Phone 317 733-8732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2023
Certificate Expiration Date 9/17/2025
Facility Type Pharmacy
Lab Director KILEY JS STRAKIS

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This page was last updated on: 6/4/2025