15D2282529 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #08650

Laboratory Demographics

  • CLIA Code: 15D2282529
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #08650
  • Facility Address: 2440 WABASH AVE
    TERRE HAUTE, IN
    ZIP 47807
  • Facility Phone: 812 235-4322
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MYKIM LE
  • NPI Number: 1558302455
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282529
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #08650
Street 2440 WABASH AVE
City TERRE HAUTE
State IN
ZIP 47807
Phone 812 235-4322
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 MYKIM LE

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