15D2169552 CLIA NUMBER - ENGLEKING RX LLC

Laboratory Demographics

  • CLIA Code: 15D2169552
  • Facility Name: ENGLEKING RX LLC
  • Facility Address: 1494 W MAIN ST
    MITCHELL, IN
    ZIP 47446
  • Facility Phone: 812 865-3266
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN N. ENGLEKING
  • NPI Number: 1841732757
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2169552
LAB Type Pharmacy
Facility Name ENGLEKING RX LLC
Street 1494 W MAIN ST
City MITCHELL
State IN
ZIP 47446
Phone 812 865-3266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Pharmacy
Lab Director RYAN N. ENGLEKING

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