14D2015255 CLIA NUMBER - WALGREENS # 06563

Laboratory Demographics

  • CLIA Code: 14D2015255
  • Facility Name: WALGREENS # 06563
  • Facility Address: 498 N WEBER RD
    ROMEOVILLE, IL
    ZIP 60446
  • Facility Phone: 815 293-3465
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EVANGELIA CHRYSANTHOU
  • NPI Number: 1174992267
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015255
LAB Type Pharmacy
Facility Name WALGREENS # 06563
Street 498 N WEBER RD
City ROMEOVILLE
State IL
ZIP 60446
Phone 815 293-3465
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director EVANGELIA CHRYSANTHOU

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This page was last updated on: 6/4/2025