15D2283469 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #07791

Laboratory Demographics

  • CLIA Code: 15D2283469
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #07791
  • Facility Address: 8330 CRAWFORDSVILLE ROAD
    INDIANAPOLIS, IN
    ZIP 46234
  • Facility Phone: 317 347-4411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEREK JOHNSON
  • NPI Number: 1568565299
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283469
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #07791
Street 8330 CRAWFORDSVILLE ROAD
City INDIANAPOLIS
State IN
ZIP 46234
Phone 317 347-4411
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 DEREK JOHNSON

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