15D2289938 CLIA NUMBER - WALGREENS 21381

Laboratory Demographics

  • CLIA Code: 15D2289938
  • Facility Name: WALGREENS 21381
  • Facility Address: 2920 E 38TH ST
    INDIANAPOLIS, IN
    ZIP 46218
  • Facility Phone: 317 545-6167
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GERO G. SEDEDJI
  • NPI Number: 1124033253
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2289938
LAB Type Pharmacy
Facility Name WALGREENS 21381
Street 2920 E 38TH ST
City INDIANAPOLIS
State IN
ZIP 46218
Phone 317 545-6167
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 GERO G. SEDEDJI

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