CLIA lab
CLIA 15D2011480: Walgreens #12788
Griffith, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2011480 belongs to Walgreens #12788 in Griffith, IN.
Certificate of Waiver, effective April 21, 2025, expires April 20, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2010
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2011480
- Lab name
- Walgreens #12788
- Address
- 407 W Glen Park Ave, Griffith, IN 46319
- Phone
- (219) 924-2701
- Fax
- (219) 924-8691
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Griffith, IN
- Biomat USA, IncCertificate of Accreditation, Other15D2135697
- Fresenius Medical Care GriffithCertificate of Waiver, End stage renal disease dialysis facility15D2106000
- Hope Alliance of Nwi, IncCertificate of Waiver, Mobile lab15D2341302
- Midwest Express Care 4, LLCCertificate of Waiver, Other15D2222066
- Moore Home Health Care IncCertificate of Waiver, Home health agency15D0920947
- Northshore Health Centers - Griffith Teen ClinicCertificate of Waiver, Federally qualified health center15D2241649
- Quik ScriptsCertificate of Waiver, Pharmacy15D2222589
- Walgreens #04241Certificate of Waiver, Pharmacy15D2229623
Related
Questions
What is the CLIA number for Walgreens #12788 in Griffith?
15D2011480, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #12788 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2011480 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.