14D2014529 CLIA NUMBER - WALGREENS #15066

Laboratory Demographics

  • CLIA Code: 14D2014529
  • Facility Name: WALGREENS #15066
  • Facility Address: 3945 DEMPSTER ST
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: 847 674-5876
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH ABOUELKHAIR
  • NPI Number: 1538174750
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2014529
LAB Type Pharmacy
Facility Name WALGREENS #15066
Street 3945 DEMPSTER ST
City SKOKIE
State IL
ZIP 60076
Phone 847 674-5876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director JOSEPH ABOUELKHAIR

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