15D2243840 CLIA NUMBER - WALGREENS #06000

Laboratory Demographics

CLIA Number: 15D2243840

Facility Name: WALGREENS #06000

Facility Address:
22 US HIGHWAY 41
SCHERERVILLE, IN
ZIP 46375
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Facility Phone Number: 219 865-6472

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1952318990

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	15D2243840
LAB Type	Pharmacy
Facility Name	WALGREENS #06000
Street	22 US HIGHWAY 41
City	SCHERERVILLE
State	IN
ZIP	46375
Phone	219 865-6472
CertificateType	4
CertificateEffectiveDate	11/23/2023
CertificateExpirationDate	11/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024