14D2015251 CLIA NUMBER - WALGREENS #06469

Laboratory Demographics

  • CLIA Code: 14D2015251
  • Facility Name: WALGREENS #06469
  • Facility Address: 100 W VETERANS PKWY
    YORKVILLE, IL
    ZIP 60560
  • Facility Phone: 630 553-3759
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NANA K O OBENG
  • NPI Number: 1558376756
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015251
LAB Type Pharmacy
Facility Name WALGREENS #06469
Street 100 W VETERANS PKWY
City YORKVILLE
State IL
ZIP 60560
Phone 630 553-3759
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 NANA K O OBENG

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