15D2159477 CLIA NUMBER - CROWNPOINT PHARMACY RX LLC

Laboratory Demographics

  • CLIA Code: 15D2159477
  • Facility Name: CROWNPOINT PHARMACY RX LLC
  • Facility Address: 9150 E 109TH STREET SUITE B1
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: 219 488-1461
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRUSHARKUMAR PAREKH
  • NPI Number: 1730571258
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2159477
LAB Type Pharmacy
Facility Name CROWNPOINT PHARMACY RX LLC
Street 9150 E 109TH STREET SUITE B1
City CROWN POINT
State IN
ZIP 46307
Phone 219 488-1461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Pharmacy
Lab Director TRUSHARKUMAR PAREKH

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