15D2283114 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #06510

Laboratory Demographics

  • CLIA Code: 15D2283114
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #06510
  • Facility Address: 7330 LIMA ROAD
    FORT WAYNE, IN
    ZIP 46818
  • Facility Phone: 260 489-6064
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MERIANA NADROUS
  • NPI Number: 1588767297
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283114
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #06510
Street 7330 LIMA ROAD
City FORT WAYNE
State IN
ZIP 46818
Phone 260 489-6064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Pharmacy
Lab Director MERIANA NADROUS

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