14D2015188 CLIA NUMBER - WALGREENS #04938

Laboratory Demographics

  • CLIA Code: 14D2015188
  • Facility Name: WALGREENS #04938
  • Facility Address: 4748 W NORTH AVE
    CHICAGO, IL
    ZIP 60639
  • Facility Phone: 773 745-6642
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RANI D. PARIKH
  • NPI Number: 1871500959
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015188
LAB Type Pharmacy
Facility Name WALGREENS #04938
Street 4748 W NORTH AVE
City CHICAGO
State IL
ZIP 60639
Phone 773 745-6642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director RANI D. PARIKH

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