14D2015200 CLIA NUMBER - WALGREENS #05076

Laboratory Demographics

  • CLIA Code: 14D2015200
  • Facility Name: WALGREENS #05076
  • Facility Address: 6800 OGDEN AVE
    BERWYN, IL
    ZIP 60402
  • Facility Phone: 708 749-9061
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANK J. CARUSO
  • NPI Number: 1205156916
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2015200
LAB Type Pharmacy
Facility Name WALGREENS #05076
Street 6800 OGDEN AVE
City BERWYN
State IL
ZIP 60402
Phone 708 749-9061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Pharmacy
Lab Director FRANK J. CARUSO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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