15D2226291 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #06698

Laboratory Demographics

  • CLIA Code: 15D2226291
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #06698
  • Facility Address: 2650 S WALNUT ST
    BLOOMINGTON, IN
    ZIP 47401
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JORDYNN REESER
  • NPI Number: 1235151952
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2226291
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #06698
Street 2650 S WALNUT ST
City BLOOMINGTON
State IN
ZIP 47401
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 JORDYNN REESER

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