15D2282862 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #04982

Laboratory Demographics

  • CLIA Code: 15D2282862
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #04982
  • Facility Address: 13098 PUBLISHERS DR
    FISHERS, IN
    ZIP 46038
  • Facility Phone: 317 598-4409
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MORGAN BURTNER
  • NPI Number: 1609898329
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282862
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #04982
Street 13098 PUBLISHERS DR
City FISHERS
State IN
ZIP 46038
Phone 317 598-4409
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 MORGAN BURTNER

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