15D2283467 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #08649

Laboratory Demographics

  • CLIA Code: 15D2283467
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #08649
  • Facility Address: 8295 E 116TH ST
    FISHERS, IN
    ZIP 46038
  • Facility Phone: 317 570-8571
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON HETZELL
  • NPI Number: 1295779668
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283467
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #08649
Street 8295 E 116TH ST
City FISHERS
State IN
ZIP 46038
Phone 317 570-8571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Pharmacy
Lab Director BRANDON HETZELL

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