15D2283823 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #00044

Laboratory Demographics

  • CLIA Code: 15D2283823
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #00044
  • Facility Address: 3900 OAK HILL RD
    EVANSVILLE, IN
    ZIP 47711
  • Facility Phone: 812 475-8497
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEX COULTER
  • NPI Number: 1932321049
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283823
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #00044
Street 3900 OAK HILL RD
City EVANSVILLE
State IN
ZIP 47711
Phone 812 475-8497
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 ALEX COULTER

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