14D2028257 CLIA NUMBER - WALGREENS 16355

Laboratory Demographics

  • CLIA Code: 14D2028257
  • Facility Name: WALGREENS 16355
  • Facility Address: 2 N STATE ST, #1
    CHICAGO, IL
    ZIP 60602
  • Facility Phone: 312 332-0216
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSHIL P. PATEL
  • NPI Number: 1275548471
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2028257
LAB Type Pharmacy
Facility Name WALGREENS 16355
Street 2 N STATE ST, #1
City CHICAGO
State IL
ZIP 60602
Phone 312 332-0216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Pharmacy
Lab Director SUSHIL P. PATEL

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