14D2033272 CLIA NUMBER - WALGREENS # 13933

Laboratory Demographics

  • CLIA Code: 14D2033272
  • Facility Name: WALGREENS # 13933
  • Facility Address: 108 WILMOT RD
    DEERFIELD, IL
    ZIP 60015
  • Facility Phone: 847 580-0000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUDY FAKHOURI
  • NPI Number: 1780952903
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2033272
LAB Type Pharmacy
Facility Name WALGREENS # 13933
Street 108 WILMOT RD
City DEERFIELD
State IL
ZIP 60015
Phone 847 580-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Pharmacy
Lab Director JUDY FAKHOURI

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