14D2016706 CLIA NUMBER - WALGREENS #03076

Laboratory Demographics

  • CLIA Code: 14D2016706
  • Facility Name: WALGREENS #03076
  • Facility Address: 7251 LAKE ST
    RIVER FOREST, IL
    ZIP 60305
  • Facility Phone: 708 366-9960
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: EVELYN B. SIASKIEWICZ
  • NPI Number: 1053326181
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2016706
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #03076
Street 7251 LAKE ST
City RIVER FOREST
State IL
ZIP 60305
Phone 708 366-9960
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 TEST SITE
Lab Director EVELYN B. SIASKIEWICZ

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