15D2283120 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #06535

Laboratory Demographics

  • CLIA Code: 15D2283120
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #06535
  • Facility Address: 831 NORTH MAIN STREET
    MONTICELLO, IN
    ZIP 47960
  • Facility Phone: 574 583-8220
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY SPECKMAN
  • NPI Number: 1861595548
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283120
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #06535
Street 831 NORTH MAIN STREET
City MONTICELLO
State IN
ZIP 47960
Phone 574 583-8220
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 ZACHARY SPECKMAN

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