15D2282876 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #10259

Laboratory Demographics

  • CLIA Code: 15D2282876
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #10259
  • Facility Address: 225 JOLIET ST
    DYER, IN
    ZIP 46311
  • Facility Phone: (219) 322-3014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIANNE TRGOVICH
  • NPI Number: 1952798993
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282876
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #10259
Street 225 JOLIET ST
City DYER
State IN
ZIP 46311
Phone 2193223014
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 MARIANNE TRGOVICH

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This page was last updated on: 5/18/2026