CLIA lab
CLIA 15D2071474: Walgreens #12640
Demotte, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2071474 belongs to Walgreens #12640 in Demotte, IN.
Certificate of Waiver, effective July 20, 2025, expires July 19, 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
- July 20, 2025
- Certificate expiration
- July 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 2014
- 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
- 15D2071474
- Lab name
- Walgreens #12640
- Address
- 226 N Halleck St, Demotte, IN 46310
- Phone
- (219) 987-4900
- Fax
- (219) 987-4959
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 Demotte, IN
- Aperion Care DemotteCertificate of Waiver, Skilled nursing or nursing facility15D0355144
- Clinical Management Services, IncCertificate of Waiver, Home health agency15D0721954
- Connection Medical ClinicCertificate of Waiver, Other practitioner15D2223405
- Leestma Medical ClinicCertificate of Waiver, Physician office15D0919923
- Minuteclinic Diag of Ind, LLC #6908Certificate of Waiver, Other15D2059272
- Northshore Health Centers - DemotteCertificate of Waiver, Federally qualified health center15D2241441
- Oak Grove Christian Retirement VillageCertificate of Waiver, Skilled nursing or nursing facility15D0975869
- Valley PharmacyCertificate of Waiver, Pharmacy15D2196609
Related
Questions
What is the CLIA number for Walgreens #12640 in Demotte?
15D2071474, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #12640 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2071474 expire?
The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.