14D2014490 CLIA NUMBER - WALGREENS 00211

Laboratory Demographics

  • CLIA Code: 14D2014490
  • Facility Name: WALGREENS 00211
  • Facility Address: 757 N MICHIGAN AVE
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 312 664-8686
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES K. WRENN
  • NPI Number: 1225045214
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2014490
LAB Type Pharmacy
Facility Name WALGREENS 00211
Street 757 N MICHIGAN AVE
City CHICAGO
State IL
ZIP 60611
Phone 312 664-8686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Pharmacy
Lab Director JAMES K. WRENN

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