14D2014485 CLIA NUMBER - WALGREENS 00039

Laboratory Demographics

CLIA Number: 14D2014485

Facility Name: WALGREENS 00039

Facility Address:
235 E PALATINE RD
ARLINGTON HEIGHTS, IL
ZIP 60004
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Facility Phone Number: 847 394-2420

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043225162

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 14D2014485
LAB Type Pharmacy
Facility Name WALGREENS 00039
Street 235 E PALATINE RD
City ARLINGTON HEIGHTS
State IL
ZIP 60004
Phone 847 394-2420
CertificateType 4
CertificateEffectiveDate 9/5/2023
CertificateExpirationDate 9/4/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024