15D2070321 CLIA NUMBER - WALGREENS 07708

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Laboratory Demographics

CLIA Number: 15D2070321

Facility Name: WALGREENS 07708

Facility Address:
8930 CALUMET AVE
MUNSTER, IN
ZIP 46321
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Facility Phone Number: 219 513-0894

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588679609

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	15D2070321
LAB Type	Pharmacy
Facility Name	WALGREENS 07708
Street	8930 CALUMET AVE
City	MUNSTER
State	IN
ZIP	46321
Phone	219 513-0894
CertificateType	4
CertificateEffectiveDate	9/18/2023
CertificateExpirationDate	9/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024