14D2015257 CLIA NUMBER - WALGREENS #06567

Laboratory Demographics

  • CLIA Code: 14D2015257
  • Facility Name: WALGREENS #06567
  • Facility Address: 24801 W 135TH ST
    PLAINFIELD, IL
    ZIP 60544
  • Facility Phone: 815 577-1039
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH O. EKOWA
  • NPI Number: 1821003021
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015257
LAB Type Pharmacy
Facility Name WALGREENS #06567
Street 24801 W 135TH ST
City PLAINFIELD
State IL
ZIP 60544
Phone 815 577-1039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2023
Certificate Expiration Date 8/31/2025
Facility Type Pharmacy
Lab Director JOSEPH O. EKOWA

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