14D1049495 CLIA NUMBER - MARIANO'S PHARMACY #8511

Laboratory Demographics

  • CLIA Code: 14D1049495
  • Facility Name: MARIANO'S PHARMACY #8511
  • Facility Address: 678 N YORK ST
    ELMHURST, IL
    ZIP 60126
  • Facility Phone: 630 782-0031
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELO DAKLARAS
  • NPI Number: 1184068777
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1049495
LAB Type Pharmacy
Facility Name MARIANO'S PHARMACY #8511
Street 678 N YORK ST
City ELMHURST
State IL
ZIP 60126
Phone 630 782-0031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Pharmacy
Lab Director ANGELO DAKLARAS

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