14D2028324 CLIA NUMBER - WALGREENS # 06819

Laboratory Demographics

  • CLIA Code: 14D2028324
  • Facility Name: WALGREENS # 06819
  • Facility Address: 12700 ROCKLAND RD
    LAKE BLUFF, IL
    ZIP 60044
  • Facility Phone: 847 615-2088
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: SOYOUNG M. CHANG
  • NPI Number: 1376828798
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2028324
LAB Type Other - COVID TESTING
Facility Name WALGREENS # 06819
Street 12700 ROCKLAND RD
City LAKE BLUFF
State IL
ZIP 60044
Phone 847 615-2088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Other - COVID TESTING
Lab Director SOYOUNG M. CHANG

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