15D2282878 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #08657

Laboratory Demographics

  • CLIA Code: 15D2282878
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #08657
  • Facility Address: 1725 SALEM ST
    LAFAYETTE, IN
    ZIP 47904
  • Facility Phone: (765) 447-1276
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIANA ROBERTS
  • NPI Number: 1053414557
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282878
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #08657
Street 1725 SALEM ST
City LAFAYETTE
State IN
ZIP 47904
Phone 7654471276
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 KRISTIANA ROBERTS

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