15D2283509 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #06792

Laboratory Demographics

  • CLIA Code: 15D2283509
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #06792
  • Facility Address: 4495 WEST STATE ROAD 46
    COLUMBUS, IN
    ZIP 47201
  • Facility Phone: 812 342-6817
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVE SMITH
  • NPI Number: 1497858849
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283509
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #06792
Street 4495 WEST STATE ROAD 46
City COLUMBUS
State IN
ZIP 47201
Phone 812 342-6817
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 STEVE SMITH

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