14D2015072 CLIA NUMBER - WALGREENS 03627

Laboratory Demographics

  • CLIA Code: 14D2015072
  • Facility Name: WALGREENS 03627
  • Facility Address: 1650 WASHINGTON AVE
    ALTON, IL
    ZIP 62002
  • Facility Phone: 618 462-5386
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATIE BARTELS
  • NPI Number: 1982619151
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015072
LAB Type Pharmacy
Facility Name WALGREENS 03627
Street 1650 WASHINGTON AVE
City ALTON
State IL
ZIP 62002
Phone 618 462-5386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director KATIE BARTELS

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