15D2216217 CLIA NUMBER - WALGREENS #21257

Laboratory Demographics

  • CLIA Code: 15D2216217
  • Facility Name: WALGREENS #21257
  • Facility Address: 902 E HANNA AVENUE
    INDIANAPOLIS, IN
    ZIP 46227
  • Facility Phone: 317 780-1990
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY L. WRIGHT
  • NPI Number: 1174530166
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2216217
LAB Type Pharmacy
Facility Name WALGREENS #21257
Street 902 E HANNA AVENUE
City INDIANAPOLIS
State IN
ZIP 46227
Phone 317 780-1990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Pharmacy
Lab Director EMILY L. WRIGHT

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