15D2282841 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #03398

Laboratory Demographics

  • CLIA Code: 15D2282841
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #03398
  • Facility Address: 100 EAST STATE RD 231
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: 219 662-8854
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAITLYNN BAKKER
  • NPI Number: 1790942936
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2282841
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #03398
Street 100 EAST STATE RD 231
City CROWN POINT
State IN
ZIP 46307
Phone 219 662-8854
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director KAITLYNN BAKKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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