15D2206192 CLIA NUMBER - WALGREENS #11544

Laboratory Demographics

  • CLIA Code: 15D2206192
  • Facility Name: WALGREENS #11544
  • Facility Address: 13060 ADAMS RD
    GRANGER, IN
    ZIP 46530
  • Facility Phone: 574 243-5468
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA N. PECK
  • NPI Number: 1336311752
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2206192
LAB Type Pharmacy
Facility Name WALGREENS #11544
Street 13060 ADAMS RD
City GRANGER
State IN
ZIP 46530
Phone 574 243-5468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Pharmacy
Lab Director ANGELA N. PECK

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