14D2015219 CLIA NUMBER - WALGREENS #05366

Laboratory Demographics

  • CLIA Code: 14D2015219
  • Facility Name: WALGREENS #05366
  • Facility Address: 5500 COUNTY FARM RD
    HANOVER PARK, IL
    ZIP 60133
  • Facility Phone: 630 213-1809
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY LASKEN
  • NPI Number: 1518247006
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2015219
LAB Type Pharmacy
Facility Name WALGREENS #05366
Street 5500 COUNTY FARM RD
City HANOVER PARK
State IL
ZIP 60133
Phone 630 213-1809
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director BRITTANY LASKEN

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