14D2025138 CLIA NUMBER - WALGREENS #2903

Laboratory Demographics

  • CLIA Code: 14D2025138
  • Facility Name: WALGREENS #2903
  • Facility Address: 5222 W MADISON ST
    CHICAGO, IL
    ZIP 60644
  • Facility Phone: 773 287-0380
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE M. CAMEAU
  • NPI Number: 1982619136
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2025138
LAB Type Pharmacy
Facility Name WALGREENS #2903
Street 5222 W MADISON ST
City CHICAGO
State IL
ZIP 60644
Phone 773 287-0380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director DANIELLE M. CAMEAU

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