14D2015221 CLIA NUMBER - WALGREENS 05387

Laboratory Demographics

  • CLIA Code: 14D2015221
  • Facility Name: WALGREENS 05387
  • Facility Address: 79 W MONROE ST
    CHICAGO, IL
    ZIP 60603
  • Facility Phone: 312 346-5727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NANCY SALMAN
  • NPI Number: 1700891025
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015221
LAB Type Pharmacy
Facility Name WALGREENS 05387
Street 79 W MONROE ST
City CHICAGO
State IL
ZIP 60603
Phone 312 346-5727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Pharmacy
Lab Director NANCY SALMAN

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