15D2282528 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #08684

Laboratory Demographics

  • CLIA Code: 15D2282528
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #08684
  • Facility Address: 6509 N KEYSTONE AVE
    INDIANAPOLIS, IN
    ZIP 46220
  • Facility Phone: 317 253-7063
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BROOKE FRY
  • NPI Number: 1679514590
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282528
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #08684
Street 6509 N KEYSTONE AVE
City INDIANAPOLIS
State IN
ZIP 46220
Phone 317 253-7063
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 BROOKE FRY

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This page was last updated on: 6/4/2025