14D2015211 CLIA NUMBER - WALGREENS #05139

Laboratory Demographics

  • CLIA Code: 14D2015211
  • Facility Name: WALGREENS #05139
  • Facility Address: 7945 W 95TH ST
    HICKORY HILLS, IL
    ZIP 60457
  • Facility Phone: 708 599-5603
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: KATIE L. SURGES
  • NPI Number: 1700891991
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015211
LAB Type Other - COVID TESTING
Facility Name WALGREENS #05139
Street 7945 W 95TH ST
City HICKORY HILLS
State IL
ZIP 60457
Phone 708 599-5603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Other - COVID TESTING
Lab Director KATIE L. SURGES

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