15D2282973 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #08646

Laboratory Demographics

  • CLIA Code: 15D2282973
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #08646
  • Facility Address: 51467 STATE ROAD 933
    SOUTH BEND, IN
    ZIP 46637
  • Facility Phone: (574) 243-0904
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI RUDGE
  • NPI Number: 1699719955
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282973
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #08646
Street 51467 STATE ROAD 933
City SOUTH BEND
State IN
ZIP 46637
Phone 5742430904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Pharmacy
Lab Director LORI RUDGE

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