14D2032877 CLIA NUMBER - WALGREENS 01033

Laboratory Demographics

  • CLIA Code: 14D2032877
  • Facility Name: WALGREENS 01033
  • Facility Address: 811 GREEN BAY RD
    WILMETTE, IL
    ZIP 60091
  • Facility Phone: 847 256-0881
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA K. KIELAR
  • NPI Number: 1184639403
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2032877
LAB Type Pharmacy
Facility Name WALGREENS 01033
Street 811 GREEN BAY RD
City WILMETTE
State IL
ZIP 60091
Phone 847 256-0881
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 ANNA K. KIELAR

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