14D2015118 CLIA NUMBER - WALGREENS #03993

Laboratory Demographics

  • CLIA Code: 14D2015118
  • Facility Name: WALGREENS #03993
  • Facility Address: 540 N SCHMALE RD
    CAROL STREAM, IL
    ZIP 60188
  • Facility Phone: 630 933-9558
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAITRI DESAI
  • NPI Number: 1780699959
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015118
LAB Type Pharmacy
Facility Name WALGREENS #03993
Street 540 N SCHMALE RD
City CAROL STREAM
State IL
ZIP 60188
Phone 630 933-9558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director MAITRI DESAI

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