15D2289935 CLIA NUMBER - WALGREENS 06216

Laboratory Demographics

  • CLIA Code: 15D2289935
  • Facility Name: WALGREENS 06216
  • Facility Address: 742 W OLD RIDGE RD
    HOBART, IN
    ZIP 46342
  • Facility Phone: 219 942-8517
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID SEFCIK
  • NPI Number: 1487661476
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2289935
LAB Type Pharmacy
Facility Name WALGREENS 06216
Street 742 W OLD RIDGE RD
City HOBART
State IN
ZIP 46342
Phone 219 942-8517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director DAVID SEFCIK

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