15D2230093 CLIA NUMBER - WALGREENS #17009

Laboratory Demographics

  • CLIA Code: 15D2230093
  • Facility Name: WALGREENS #17009
  • Facility Address: 803 S MAIN ST
    SALEM, IN
    ZIP 47167
  • Facility Phone: 812 883-1023
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEIDI C. BARRETT
  • NPI Number: 1952825564
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2230093
LAB Type Pharmacy
Facility Name WALGREENS #17009
Street 803 S MAIN ST
City SALEM
State IN
ZIP 47167
Phone 812 883-1023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director HEIDI C. BARRETT

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