15D2230844 CLIA NUMBER - WALGREENS #09751

Laboratory Demographics

  • CLIA Code: 15D2230844
  • Facility Name: WALGREENS #09751
  • Facility Address: 512 GREEN BLVD
    AURORA, IN
    ZIP 47001
  • Facility Phone: 812 926-3424
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEBORAH K. ESTANISLAO
  • NPI Number: 1376563965
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2230844
LAB Type Pharmacy
Facility Name WALGREENS #09751
Street 512 GREEN BLVD
City AURORA
State IN
ZIP 47001
Phone 812 926-3424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director DEBORAH K. ESTANISLAO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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