15D2284413 CLIA NUMBER - HOOK-SUPERX, LLC DBA CVS/PHARMACY #06585

Laboratory Demographics

  • CLIA Code: 15D2284413
  • Facility Name: HOOK-SUPERX, LLC DBA CVS/PHARMACY #06585
  • Facility Address: 5605 NORTH POST RD
    INDIANAPOLIS, IN
    ZIP 46216
  • Facility Phone: 317 547-2926
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL YOHANNES
  • NPI Number: 1306949086
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2284413
LAB Type Pharmacy
Facility Name HOOK-SUPERX, LLC DBA CVS/PHARMACY #06585
Street 5605 NORTH POST RD
City INDIANAPOLIS
State IN
ZIP 46216
Phone 317 547-2926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Pharmacy
Lab Director MICHAEL YOHANNES

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