14D2015134 CLIA NUMBER - WALGREENS # 04148

Laboratory Demographics

  • CLIA Code: 14D2015134
  • Facility Name: WALGREENS # 04148
  • Facility Address: 7960 W 159TH ST
    ORLAND PARK, IL
    ZIP 60462
  • Facility Phone: 708 532-7781
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZAHIA LENA R. HUSSIEN
  • NPI Number: 1245245414
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015134
LAB Type Pharmacy
Facility Name WALGREENS # 04148
Street 7960 W 159TH ST
City ORLAND PARK
State IL
ZIP 60462
Phone 708 532-7781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director ZAHIA LENA R. HUSSIEN

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