15D2283686 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMANCY #06638

Laboratory Demographics

  • CLIA Code: 15D2283686
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMANCY #06638
  • Facility Address: 2419 W NICHOL AVE
    ANDERSON, IN
    ZIP 46016
  • Facility Phone: 765 643-4313
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GIFTY ADUAMAH
  • NPI Number: 1396848073
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283686
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMANCY #06638
Street 2419 W NICHOL AVE
City ANDERSON
State IN
ZIP 46016
Phone 765 643-4313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Pharmacy
Lab Director GIFTY ADUAMAH

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