14D2015108 CLIA NUMBER - WALGREENS # 03949

Laboratory Demographics

  • CLIA Code: 14D2015108
  • Facility Name: WALGREENS # 03949
  • Facility Address: 3046 N HALSTED ST
    CHICAGO, IL
    ZIP 60657
  • Facility Phone: 773 325-0413
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANNA HWANG
  • NPI Number: 1790791267
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015108
LAB Type Pharmacy
Facility Name WALGREENS # 03949
Street 3046 N HALSTED ST
City CHICAGO
State IL
ZIP 60657
Phone 773 325-0413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director HANNA HWANG

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