14D1093231 CLIA NUMBER - WALGREENS #12427

Laboratory Demographics

  • CLIA Code: 14D1093231
  • Facility Name: WALGREENS #12427
  • Facility Address: 2305 W MONROE
    SPRINGFIELD, IL
    ZIP 62704
  • Facility Phone: 217 546-9558
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: KAITLYN CLEMONS
  • NPI Number: 1235144460
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1093231
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #12427
Street 2305 W MONROE
City SPRINGFIELD
State IL
ZIP 62704
Phone 217 546-9558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Other - COVID 19 TEST SITE
Lab Director KAITLYN CLEMONS

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