15D2284057 CLIA NUMBER - HOOK- SUPERX LLC DBA CVS/PHARMACY #06566

Laboratory Demographics

  • CLIA Code: 15D2284057
  • Facility Name: HOOK- SUPERX LLC DBA CVS/PHARMACY #06566
  • Facility Address: 2550 CONNER ST
    NOBLESVILLE, IN
    ZIP 46060
  • Facility Phone: 317 773-0194
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENA DONLEY
  • NPI Number: 1699878371
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2284057
LAB Type Pharmacy
Facility Name HOOK- SUPERX LLC DBA CVS/PHARMACY #06566
Street 2550 CONNER ST
City NOBLESVILLE
State IN
ZIP 46060
Phone 317 773-0194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director JENA DONLEY

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