15D2282316 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #06656

Laboratory Demographics

  • CLIA Code: 15D2282316
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #06656
  • Facility Address: 3824 MAIN STREET
    ANDERSON, IN
    ZIP 46013
  • Facility Phone: 765 640-4398
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VADIM SHINKEVICH
  • NPI Number: 1285737981
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282316
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #06656
Street 3824 MAIN STREET
City ANDERSON
State IN
ZIP 46013
Phone 765 640-4398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director VADIM SHINKEVICH

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