14D2015156 CLIA NUMBER - WALGREENS #04233

Laboratory Demographics

  • CLIA Code: 14D2015156
  • Facility Name: WALGREENS #04233
  • Facility Address: 5600 W FULLERTON AVE
    CHICAGO, IL
    ZIP 60639
  • Facility Phone: 773 745-1640
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KLAUDIA KUPINSKA
  • NPI Number: 1104831403
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015156
LAB Type Pharmacy
Facility Name WALGREENS #04233
Street 5600 W FULLERTON AVE
City CHICAGO
State IL
ZIP 60639
Phone 773 745-1640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director KLAUDIA KUPINSKA

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