14D0914342 CLIA NUMBER - WALGREENS 01417

Laboratory Demographics

  • CLIA Code: 14D0914342
  • Facility Name: WALGREENS 01417
  • Facility Address: 1931 W CERMAK RD
    CHICAGO, IL
    ZIP 60608
  • Facility Phone: 773 847-5781
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDA HUANG
  • NPI Number: 1982619201
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D0914342
LAB Type Pharmacy
Facility Name WALGREENS 01417
Street 1931 W CERMAK RD
City CHICAGO
State IL
ZIP 60608
Phone 773 847-5781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2023
Certificate Expiration Date 8/19/2025
Facility Type Pharmacy
Lab Director LINDA HUANG

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This page was last updated on: 6/4/2025