15D2210012 CLIA NUMBER - RX HOLDINGS DBA 3 RIVERS PHARMACY

Laboratory Demographics

  • CLIA Code: 15D2210012
  • Facility Name: RX HOLDINGS DBA 3 RIVERS PHARMACY
  • Facility Address: 3537 N ANTHONY ST
    FORT WAYNE, IN
    ZIP 46805
  • Facility Phone: 260 373-1083
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHEILA L. WALKER
  • NPI Number: 1811401052
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2210012
LAB Type Pharmacy
Facility Name RX HOLDINGS DBA 3 RIVERS PHARMACY
Street 3537 N ANTHONY ST
City FORT WAYNE
State IN
ZIP 46805
Phone 260 373-1083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Pharmacy
Lab Director SHEILA L. WALKER

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