14D2022037 CLIA NUMBER - WALGREENS #09330

Laboratory Demographics

  • CLIA Code: 14D2022037
  • Facility Name: WALGREENS #09330
  • Facility Address: 18300 GOVERNORS HWY
    HOMEWOOD, IL
    ZIP 60430
  • Facility Phone: 708 799-8301
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLOTTE A. BARNES-GILSPIE
  • NPI Number: 1184639221
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2022037
LAB Type Pharmacy
Facility Name WALGREENS #09330
Street 18300 GOVERNORS HWY
City HOMEWOOD
State IL
ZIP 60430
Phone 708 799-8301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Pharmacy
Lab Director CHARLOTTE A. BARNES-GILSPIE

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