15D2256877 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #06626

Laboratory Demographics

  • CLIA Code: 15D2256877
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #06626
  • Facility Address: 301 E MAIN ST
    GAS CITY, IN
    ZIP 46933
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER LEE
  • NPI Number: 1194828897
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2256877
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #06626
Street 301 E MAIN ST
City GAS CITY
State IN
ZIP 46933
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Pharmacy
Lab Director JENNIFER LEE

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