14D2015224 CLIA NUMBER - WALGREENS # 05468

Laboratory Demographics

  • CLIA Code: 14D2015224
  • Facility Name: WALGREENS # 05468
  • Facility Address: 16 E LAKE ST
    ADDISON, IL
    ZIP 60101
  • Facility Phone: 630 832-7821
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SYED MAKKI
  • NPI Number: 1710992854
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015224
LAB Type Pharmacy
Facility Name WALGREENS # 05468
Street 16 E LAKE ST
City ADDISON
State IL
ZIP 60101
Phone 630 832-7821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Pharmacy
Lab Director SYED MAKKI

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