15D2282867 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #06251

Laboratory Demographics

  • CLIA Code: 15D2282867
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #06251
  • Facility Address: 609 NORTH ST JOSEPH AVE
    EVANSVILLE, IN
    ZIP 47712
  • Facility Phone: 812 424-3894
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN SAPP
  • NPI Number: 1851494520
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282867
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #06251
Street 609 NORTH ST JOSEPH AVE
City EVANSVILLE
State IN
ZIP 47712
Phone 812 424-3894
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 NATHAN SAPP

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