14D2015287 CLIA NUMBER - WALGREENS #09852

Laboratory Demographics

  • CLIA Code: 14D2015287
  • Facility Name: WALGREENS #09852
  • Facility Address: 302 E UNIVERSITY AVE
    URBANA, IL
    ZIP 61802
  • Facility Phone: 217 344-7201
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE O BRIEN
  • NPI Number: 1578578688
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015287
LAB Type Pharmacy
Facility Name WALGREENS #09852
Street 302 E UNIVERSITY AVE
City URBANA
State IL
ZIP 61802
Phone 217 344-7201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director JACQUELINE O BRIEN

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