15D2282526 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #06613

Laboratory Demographics

  • CLIA Code: 15D2282526
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #06613
  • Facility Address: 4401 E 10TH ST
    INDIANAPOLIS, IN
    ZIP 46201
  • Facility Phone: 317 353-2178
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL WILLIAMS
  • NPI Number: 1639272156
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282526
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #06613
Street 4401 E 10TH ST
City INDIANAPOLIS
State IN
ZIP 46201
Phone 317 353-2178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Pharmacy
Lab Director MICHAEL WILLIAMS

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