15D2229623 CLIA NUMBER - WALGREENS #04241

Laboratory Demographics

  • CLIA Code: 15D2229623
  • Facility Name: WALGREENS #04241
  • Facility Address: 1225 E RIDGE RD
    GRIFFITH, IN
    ZIP 46319
  • Facility Phone: 219 838-4280
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELSEY KUREY
  • NPI Number: 1730194846
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2229623
LAB Type Pharmacy
Facility Name WALGREENS #04241
Street 1225 E RIDGE RD
City GRIFFITH
State IN
ZIP 46319
Phone 219 838-4280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Pharmacy
Lab Director KELSEY KUREY

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