14D2015050 CLIA NUMBER - WALGREENS 03078

Laboratory Demographics

  • CLIA Code: 14D2015050
  • Facility Name: WALGREENS 03078
  • Facility Address: 1811 BELVIDERE ST
    WAUKEGAN, IL
    ZIP 60085
  • Facility Phone: 847 244-7550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HMUGESHKUMAR B. PATEL
  • NPI Number: 1750398780
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015050
LAB Type Pharmacy
Facility Name WALGREENS 03078
Street 1811 BELVIDERE ST
City WAUKEGAN
State IL
ZIP 60085
Phone 847 244-7550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Pharmacy
Lab Director HMUGESHKUMAR B. PATEL

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