14D2014501 CLIA NUMBER - WALGREENS 00252

Laboratory Demographics

  • CLIA Code: 14D2014501
  • Facility Name: WALGREENS 00252
  • Facility Address: 7510 N WESTERN AVE
    CHICAGO, IL
    ZIP 60645
  • Facility Phone: 773 764-1765
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN D. DINH
  • NPI Number: 1245245372
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2014501
LAB Type Pharmacy
Facility Name WALGREENS 00252
Street 7510 N WESTERN AVE
City CHICAGO
State IL
ZIP 60645
Phone 773 764-1765
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 KEVIN D. DINH

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