15D2284059 CLIA NUMBER - HOOK- SUPERX LLC DBA CVS/PHARMACY #06703

Laboratory Demographics

  • CLIA Code: 15D2284059
  • Facility Name: HOOK- SUPERX LLC DBA CVS/PHARMACY #06703
  • Facility Address: 789 STATE ROAD 39 BY-PASS
    MARTINSVILLE, IN
    ZIP 46151
  • Facility Phone: 765 342-2121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLEY BRANCHFIELD
  • NPI Number: 1952404634
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2284059
LAB Type Pharmacy
Facility Name HOOK- SUPERX LLC DBA CVS/PHARMACY #06703
Street 789 STATE ROAD 39 BY-PASS
City MARTINSVILLE
State IN
ZIP 46151
Phone 765 342-2121
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 KELLEY BRANCHFIELD

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