15D2220183 CLIA NUMBER - WALGREENS #15099

Laboratory Demographics

  • CLIA Code: 15D2220183
  • Facility Name: WALGREENS #15099
  • Facility Address: 4701 N 1ST AVENUE
    EVANSVILLE, IN
    ZIP 47710
  • Facility Phone: 812 464-3656
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEIDI C. BARRETT
  • NPI Number: 1689689713
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2220183
LAB Type Pharmacy
Facility Name WALGREENS #15099
Street 4701 N 1ST AVENUE
City EVANSVILLE
State IN
ZIP 47710
Phone 812 464-3656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director HEIDI C. BARRETT

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This page was last updated on: 3/20/2025