14D2015228 CLIA NUMBER - WALGREENS # 05544

Laboratory Demographics

  • CLIA Code: 14D2015228
  • Facility Name: WALGREENS # 05544
  • Facility Address: 1200 E WAR MEMORIAL DR
    PEORIA HEIGHTS, IL
    ZIP 61616
  • Facility Phone: 309 682-3844
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK D. JONES
  • NPI Number: 1346255569
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015228
LAB Type Pharmacy
Facility Name WALGREENS # 05544
Street 1200 E WAR MEMORIAL DR
City PEORIA HEIGHTS
State IL
ZIP 61616
Phone 309 682-3844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director MARK D. JONES

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