14D2015084 CLIA NUMBER - WALGREENS #03651

Laboratory Demographics

  • CLIA Code: 14D2015084
  • Facility Name: WALGREENS #03651
  • Facility Address: 20950 GOVENORS HWY
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Facility Phone: 708 747-0121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHERINE OKORIE
  • NPI Number: 1558376855
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015084
LAB Type Pharmacy
Facility Name WALGREENS #03651
Street 20950 GOVENORS HWY
City OLYMPIA FIELDS
State IL
ZIP 60461
Phone 708 747-0121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Pharmacy
Lab Director CATHERINE OKORIE

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