15D2090785 CLIA NUMBER - KAUP PHARMACY

Laboratory Demographics

  • CLIA Code: 15D2090785
  • Facility Name: KAUP PHARMACY
  • Facility Address: 366 W DEERFIELD
    UNION CITY, IN
    ZIP 47390
  • Facility Phone: (765) 964-3098
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAWN R. GOODWIN
  • NPI Number: 1548342397
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2090785
LAB Type Pharmacy
Facility Name KAUP PHARMACY
Street 366 W DEERFIELD
City UNION CITY
State IN
ZIP 47390
Phone 7659643098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Pharmacy
Lab Director DAWN R. GOODWIN

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This page was last updated on: 5/15/2026