14D2015069 CLIA NUMBER - WALGREENS 03406

Laboratory Demographics

  • CLIA Code: 14D2015069
  • Facility Name: WALGREENS 03406
  • Facility Address: 100 N RANDALL RD
    LAKE IN THE HILLS, IL
    ZIP 60156
  • Facility Phone: 847 658-7051
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDER E. HEINZ
  • NPI Number: 1972518132
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2015069
LAB Type Pharmacy
Facility Name WALGREENS 03406
Street 100 N RANDALL RD
City LAKE IN THE HILLS
State IL
ZIP 60156
Phone 847 658-7051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Pharmacy
Lab Director ALEXANDER E. HEINZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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