14D2015163 CLIA NUMBER - WALGREENS # 04438

Laboratory Demographics

  • CLIA Code: 14D2015163
  • Facility Name: WALGREENS # 04438
  • Facility Address: 930 ELK GROVE TOWN CTR
    ELK GROVE VILLAGE, IL
    ZIP 60007
  • Facility Phone: 847 439-4710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRISHNA P. PATEL
  • NPI Number: 1972518009
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015163
LAB Type Pharmacy
Facility Name WALGREENS # 04438
Street 930 ELK GROVE TOWN CTR
City ELK GROVE VILLAGE
State IL
ZIP 60007
Phone 847 439-4710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Pharmacy
Lab Director TRISHNA P. PATEL

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