15D2282864 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #04649

Laboratory Demographics

  • CLIA Code: 15D2282864
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #04649
  • Facility Address: 10580 EAST 96TH ST
    FISHERS, IN
    ZIP 46037
  • Facility Phone: 317 849-6406
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER LENZ
  • NPI Number: 1477656106
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282864
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #04649
Street 10580 EAST 96TH ST
City FISHERS
State IN
ZIP 46037
Phone 317 849-6406
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 JENNIFER LENZ

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