15D2283505 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #06737

Laboratory Demographics

  • CLIA Code: 15D2283505
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #06737
  • Facility Address: 4225 HOBSON RD
    FORT WAYNE, IN
    ZIP 46815
  • Facility Phone: 260 422-7510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREG DONALDSON
  • NPI Number: 1043658701
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283505
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #06737
Street 4225 HOBSON RD
City FORT WAYNE
State IN
ZIP 46815
Phone 260 422-7510
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 GREG DONALDSON

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