14D2022964 CLIA NUMBER - WALGREENS #05386

Laboratory Demographics

  • CLIA Code: 14D2022964
  • Facility Name: WALGREENS #05386
  • Facility Address: 358 E CASS ST
    JOLIET, IL
    ZIP 60432
  • Facility Phone: 815 727-0033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONALD RICHLEY
  • NPI Number: 1528073749
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2022964
LAB Type Pharmacy
Facility Name WALGREENS #05386
Street 358 E CASS ST
City JOLIET
State IL
ZIP 60432
Phone 815 727-0033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Pharmacy
Lab Director RONALD RICHLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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