14D2014489 CLIA NUMBER - WALGREENS 00209

Laboratory Demographics

  • CLIA Code: 14D2014489
  • Facility Name: WALGREENS 00209
  • Facility Address: 1028 S ELMHURST RD
    MOUNT PROSPECT, IL
    ZIP 60056
  • Facility Phone: 847 437-1858
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PREKSHA AGNIHOTRI
  • NPI Number: 1063427193
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2014489
LAB Type Pharmacy
Facility Name WALGREENS 00209
Street 1028 S ELMHURST RD
City MOUNT PROSPECT
State IL
ZIP 60056
Phone 847 437-1858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Pharmacy
Lab Director PREKSHA AGNIHOTRI

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