15D2177095 CLIA NUMBER - WALGREENS #15598

Laboratory Demographics

  • CLIA Code: 15D2177095
  • Facility Name: WALGREENS #15598
  • Facility Address: 107 SAINT LIAM HALL
    NOTRE DAME, IN
    ZIP 46556
  • Facility Phone: (574) 239-3847
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE UNDERWOOD
  • NPI Number: 1447501580
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2177095
LAB Type Pharmacy
Facility Name WALGREENS #15598
Street 107 SAINT LIAM HALL
City NOTRE DAME
State IN
ZIP 46556
Phone 5742393847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2026
Certificate Expiration Date 1/2/2028
Facility Type Pharmacy
Lab Director KATHERINE UNDERWOOD

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This page was last updated on: 5/18/2026