15D2283115 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #06464

Laboratory Demographics

  • CLIA Code: 15D2283115
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #06464
  • Facility Address: 210 N MAIN ST
    MISHAWAKA, IN
    ZIP 46544
  • Facility Phone: 574 259-1130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RITHISAK SETH
  • NPI Number: 1588607881
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283115
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #06464
Street 210 N MAIN ST
City MISHAWAKA
State IN
ZIP 46544
Phone 574 259-1130
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 RITHISAK SETH

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