15D2283519 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #06583

Laboratory Demographics

  • CLIA Code: 15D2283519
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #06583
  • Facility Address: 1715 MAIN ST
    BEECH GROVE, IN
    ZIP 46107
  • Facility Phone: 317 784-9037
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA SWIEZY
  • NPI Number: 1679676340
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283519
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #06583
Street 1715 MAIN ST
City BEECH GROVE
State IN
ZIP 46107
Phone 317 784-9037
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 ANGELA SWIEZY

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