14D2015295 CLIA NUMBER - WALGREENS # 11760

Laboratory Demographics

  • CLIA Code: 14D2015295
  • Facility Name: WALGREENS # 11760
  • Facility Address: 811 MADISON ST
    OAK PARK, IL
    ZIP 60302
  • Facility Phone: (708) 383-9009
  • Facility Type: Other - COVID 19 TESTING SITE
  • Facility Type: Waiver
  • Lab Director: DANIELLE JAMES
  • NPI Number: 1619982840
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015295
LAB Type Other - COVID 19 TESTING SITE
Facility Name WALGREENS # 11760
Street 811 MADISON ST
City OAK PARK
State IL
ZIP 60302
Phone 7083839009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Other - COVID 19 TESTING SITE
Lab Director DANIELLE JAMES

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This page was last updated on: 5/18/2026