15D2283927 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #06548

Laboratory Demographics

  • CLIA Code: 15D2283927
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #06548
  • Facility Address: 3705 KENTUCKY AVE
    INDIANAPOLIS, IN
    ZIP 46221
  • Facility Phone: 317 856-1253
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CINDY BONILLA
  • NPI Number: 1588767255
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2283927
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #06548
Street 3705 KENTUCKY AVE
City INDIANAPOLIS
State IN
ZIP 46221
Phone 317 856-1253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Pharmacy
Lab Director CINDY BONILLA

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