15D2226281 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #06878

Laboratory Demographics

  • CLIA Code: 15D2226281
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #06878
  • Facility Address: 617 WEST 6TH ST
    JASPER, IN
    ZIP 47546
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAYLOR PATTON
  • NPI Number: 1073616769
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2226281
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #06878
Street 617 WEST 6TH ST
City JASPER
State IN
ZIP 47546
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director TAYLOR PATTON

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