14D2015093 CLIA NUMBER - WALGREENS #03774

Laboratory Demographics

  • CLIA Code: 14D2015093
  • Facility Name: WALGREENS #03774
  • Facility Address: 1207 N RANDALL RD
    AURORA, IL
    ZIP 60506
  • Facility Phone: 630 897-7112
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES M. HILL
  • NPI Number: 1417962671
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015093
LAB Type Pharmacy
Facility Name WALGREENS #03774
Street 1207 N RANDALL RD
City AURORA
State IL
ZIP 60506
Phone 630 897-7112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Pharmacy
Lab Director JAMES M. HILL

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