15D2230336 CLIA NUMBER - WALGREENS #09359

Laboratory Demographics

  • CLIA Code: 15D2230336
  • Facility Name: WALGREENS #09359
  • Facility Address: 432 CRAIG AVE
    GREENDALE, IN
    ZIP 47025
  • Facility Phone: 812 537-0855
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHRYN C. REYNOLDS
  • NPI Number: 1699780742
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2230336
LAB Type Pharmacy
Facility Name WALGREENS #09359
Street 432 CRAIG AVE
City GREENDALE
State IN
ZIP 47025
Phone 812 537-0855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Pharmacy
Lab Director KATHRYN C. REYNOLDS

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