14D2014551 CLIA NUMBER - WALGREENS # 02387

Laboratory Demographics

  • CLIA Code: 14D2014551
  • Facility Name: WALGREENS # 02387
  • Facility Address: 1616 E 87TH ST
    CHICAGO, IL
    ZIP 60617
  • Facility Phone: (773) 978-7174
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELICIA T. WILLIAMS-COLLINS
  • NPI Number: 1376558692
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2014551
LAB Type Pharmacy
Facility Name WALGREENS # 02387
Street 1616 E 87TH ST
City CHICAGO
State IL
ZIP 60617
Phone 7739787174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director ELICIA T. WILLIAMS-COLLINS

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This page was last updated on: 5/18/2026