15D2283821 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #05067

Laboratory Demographics

  • CLIA Code: 15D2283821
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #05067
  • Facility Address: 1102 W MAIN ST
    PLAINFIELD, IN
    ZIP 46168
  • Facility Phone: 317 839-3438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAYLOR FRUITS
  • NPI Number: 1376762625
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283821
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #05067
Street 1102 W MAIN ST
City PLAINFIELD
State IN
ZIP 46168
Phone 317 839-3438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Pharmacy
Lab Director TAYLOR FRUITS

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