14D2015252 CLIA NUMBER - WALGREENS # 06554

Laboratory Demographics

  • CLIA Code: 14D2015252
  • Facility Name: WALGREENS # 06554
  • Facility Address: 1033 SHOOTING PARK RD
    PERU, IL
    ZIP 61354
  • Facility Phone: 815 223-7853
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RENEE LYONS
  • NPI Number: 1225305634
  • Taxonomy: 305S00000X - Point of Service

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2015252
LAB Type Pharmacy
Facility Name WALGREENS # 06554
Street 1033 SHOOTING PARK RD
City PERU
State IL
ZIP 61354
Phone 815 223-7853
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 RENEE LYONS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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