15D2327037 CLIA NUMBER - PHARMAPLUS PHARMACY

Laboratory Demographics

  • CLIA Code: 15D2327037
  • Facility Name: PHARMAPLUS PHARMACY
  • Facility Address: 9929 ILLINOIS ROAD
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: 260 399-9929
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHERWIN O. DAVIS
  • NPI Number: 1609620764
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2327037
LAB Type Pharmacy
Facility Name PHARMAPLUS PHARMACY
Street 9929 ILLINOIS ROAD
City FORT WAYNE
State IN
ZIP 46804
Phone 260 399-9929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Pharmacy
Lab Director SHERWIN O. DAVIS

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