14D2015290 CLIA NUMBER - WALGREENS 10350

Laboratory Demographics

  • CLIA Code: 14D2015290
  • Facility Name: WALGREENS 10350
  • Facility Address: 7109 S JEFFERY BLVD
    CHICAGO, IL
    ZIP 60649
  • Facility Phone: 773 324-1880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER M. SUTTON
  • NPI Number: 1407863491
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015290
LAB Type Pharmacy
Facility Name WALGREENS 10350
Street 7109 S JEFFERY BLVD
City CHICAGO
State IL
ZIP 60649
Phone 773 324-1880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type Pharmacy
Lab Director HEATHER M. SUTTON

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