14D2015091 CLIA NUMBER - WALGREENS #03750

Laboratory Demographics

  • CLIA Code: 14D2015091
  • Facility Name: WALGREENS #03750
  • Facility Address: 709 N GREEN BAY RD
    WAUKEGAN, IL
    ZIP 60085
  • Facility Phone: 847 662-8091
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER NADRA
  • NPI Number: 1598770760
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015091
LAB Type Pharmacy
Facility Name WALGREENS #03750
Street 709 N GREEN BAY RD
City WAUKEGAN
State IL
ZIP 60085
Phone 847 662-8091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director JENNIFER NADRA

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