14D2014543 CLIA NUMBER - WALGREENS #01994

Laboratory Demographics

  • CLIA Code: 14D2014543
  • Facility Name: WALGREENS #01994
  • Facility Address: 305 S EASTWOOD DR
    WOODSTOCK, IL
    ZIP 60098
  • Facility Phone: 815 338-7880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAUL HERNANDEZ
  • NPI Number: 1376558676
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2014543
LAB Type Pharmacy
Facility Name WALGREENS #01994
Street 305 S EASTWOOD DR
City WOODSTOCK
State IL
ZIP 60098
Phone 815 338-7880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director RAUL HERNANDEZ

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