15D2283473 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #08640

Laboratory Demographics

  • CLIA Code: 15D2283473
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #08640
  • Facility Address: 1616 EAST 86TH STREET
    INDIANAPOLIS, IN
    ZIP 46240
  • Facility Phone: 317 569-0387
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA SHI
  • NPI Number: 1831133297
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2283473
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #08640
Street 1616 EAST 86TH STREET
City INDIANAPOLIS
State IN
ZIP 46240
Phone 317 569-0387
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 CHELSEA SHI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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