14D2014522 CLIA NUMBER - WALGREENS 01375

Laboratory Demographics

  • CLIA Code: 14D2014522
  • Facility Name: WALGREENS 01375
  • Facility Address: 1200 N DEARBORN ST
    CHICAGO, IL
    ZIP 60610
  • Facility Phone: 312 943-0973
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS OCHOCINSKI JR
  • NPI Number: 1609881929
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2014522
LAB Type Pharmacy
Facility Name WALGREENS 01375
Street 1200 N DEARBORN ST
City CHICAGO
State IL
ZIP 60610
Phone 312 943-0973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Pharmacy
Lab Director THOMAS OCHOCINSKI JR

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