14D2015088 CLIA NUMBER - WALGREENS 03710

Laboratory Demographics

  • CLIA Code: 14D2015088
  • Facility Name: WALGREENS 03710
  • Facility Address: 15575 E 127TH ST
    LEMONT, IL
    ZIP 60439
  • Facility Phone: 630 257-9250
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REDDY KRISHNAKANTH
  • NPI Number: 1720093040
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015088
LAB Type Pharmacy
Facility Name WALGREENS 03710
Street 15575 E 127TH ST
City LEMONT
State IL
ZIP 60439
Phone 630 257-9250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Pharmacy
Lab Director REDDY KRISHNAKANTH

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