15D2070321 CLIA NUMBER - WALGREENS 07708

Laboratory Demographics

  • CLIA Code: 15D2070321
  • Facility Name: WALGREENS 07708
  • Facility Address: 8930 CALUMET AVE
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 513-0894
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANTE R. GOLSTON
  • NPI Number: 1588679609
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director DANTE R. GOLSTON

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