14D2014502 CLIA NUMBER - WALGREENS #13826

Laboratory Demographics

  • CLIA Code: 14D2014502
  • Facility Name: WALGREENS #13826
  • Facility Address: 7200 W NORTH AVE
    ELMWOOD PARK, IL
    ZIP 60707
  • Facility Phone: 708 456-8810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLUFUNMILAYO FOGARTY
  • NPI Number: 1881609915
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2014502
LAB Type Pharmacy
Facility Name WALGREENS #13826
Street 7200 W NORTH AVE
City ELMWOOD PARK
State IL
ZIP 60707
Phone 708 456-8810
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 Pharmacy
Lab Director OLUFUNMILAYO FOGARTY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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