14D2036078 CLIA NUMBER - MARIANO'S PHARMACY #8506

Laboratory Demographics

  • CLIA Code: 14D2036078
  • Facility Name: MARIANO'S PHARMACY #8506
  • Facility Address: 2575 W GOLF RD
    HOFFMAN ESTATES, IL
    ZIP 60169
  • Facility Phone: 847 490-2047
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KUNJAL PATEL
  • NPI Number: 1134484389
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2036078
LAB Type Pharmacy
Facility Name MARIANO'S PHARMACY #8506
Street 2575 W GOLF RD
City HOFFMAN ESTATES
State IL
ZIP 60169
Phone 847 490-2047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Pharmacy
Lab Director KUNJAL PATEL

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