15D2282843 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #02941

Laboratory Demographics

  • CLIA Code: 15D2282843
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #02941
  • Facility Address: 610 W MARKLAND AVE
    KOKOMO, IN
    ZIP 46901
  • Facility Phone: 765 457-4407
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILL CAMPBELL
  • NPI Number: 1508963091
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282843
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #02941
Street 610 W MARKLAND AVE
City KOKOMO
State IN
ZIP 46901
Phone 765 457-4407
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 JILL CAMPBELL

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