15D2227549 CLIA NUMBER - ENGLEKING RX

Laboratory Demographics

  • CLIA Code: 15D2227549
  • Facility Name: ENGLEKING RX
  • Facility Address: 125 W OLD SHORT ST
    MARENGO, IN
    ZIP 47140
  • Facility Phone: 812 365-0001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN N. ENGLEKING
  • NPI Number: 1457978439
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2227549
LAB Type Pharmacy
Facility Name ENGLEKING RX
Street 125 W OLD SHORT ST
City MARENGO
State IN
ZIP 47140
Phone 812 365-0001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Pharmacy
Lab Director RYAN N. ENGLEKING

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