14D2015256 CLIA NUMBER - WALGREENS #06564

Laboratory Demographics

  • CLIA Code: 14D2015256
  • Facility Name: WALGREENS #06564
  • Facility Address: 522 TORRENCE AVE
    CALUMET CITY, IL
    ZIP 60409
  • Facility Phone: 708 868-5669
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA C. GRELAK
  • NPI Number: 1255347712
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015256
LAB Type Pharmacy
Facility Name WALGREENS #06564
Street 522 TORRENCE AVE
City CALUMET CITY
State IL
ZIP 60409
Phone 708 868-5669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2023
Certificate Expiration Date 9/6/2025
Facility Type Pharmacy
Lab Director MELISSA C. GRELAK

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This page was last updated on: 3/20/2025