14D2015277 CLIA NUMBER - WALGREENS 7100

Laboratory Demographics

  • CLIA Code: 14D2015277
  • Facility Name: WALGREENS 7100
  • Facility Address: 1700 LARKIN AVE
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 847 695-1158
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS KIM
  • NPI Number: 1104151430
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015277
LAB Type Pharmacy
Facility Name WALGREENS 7100
Street 1700 LARKIN AVE
City ELGIN
State IL
ZIP 60123
Phone 847 695-1158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2023
Certificate Expiration Date 8/20/2025
Facility Type Pharmacy
Lab Director NICHOLAS KIM

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