15D2282866 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #06460

Laboratory Demographics

  • CLIA Code: 15D2282866
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #06460
  • Facility Address: 3600 CASSOPOLIS ST
    ELKHART, IN
    ZIP 46514
  • Facility Phone: 574 262-8247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANK KNUTSON
  • NPI Number: 1336242981
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282866
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #06460
Street 3600 CASSOPOLIS ST
City ELKHART
State IN
ZIP 46514
Phone 574 262-8247
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 FRANK KNUTSON

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