14D2015267 CLIA NUMBER - WALGREENS #06703

Laboratory Demographics

  • CLIA Code: 14D2015267
  • Facility Name: WALGREENS #06703
  • Facility Address: 16750 W 159TH ST
    LOCKPORT, IL
    ZIP 60441
  • Facility Phone: 815 834-1351
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDA P. GHANAYEM
  • NPI Number: 1245245497
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015267
LAB Type Pharmacy
Facility Name WALGREENS #06703
Street 16750 W 159TH ST
City LOCKPORT
State IL
ZIP 60441
Phone 815 834-1351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Pharmacy
Lab Director LINDA P. GHANAYEM

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