14D2015125 CLIA NUMBER - WALGREENS #04067

Laboratory Demographics

  • CLIA Code: 14D2015125
  • Facility Name: WALGREENS #04067
  • Facility Address: 15 N BUFFALO GROVE RD
    BUFFALO GROVE, IL
    ZIP 60089
  • Facility Phone: 847 520-7220
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIMIT Y. BAXI
  • NPI Number: 1891700027
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015125
LAB Type Pharmacy
Facility Name WALGREENS #04067
Street 15 N BUFFALO GROVE RD
City BUFFALO GROVE
State IL
ZIP 60089
Phone 847 520-7220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director JIMIT Y. BAXI

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