14D2036091 CLIA NUMBER - MARIANO'S PHARMACY #8502

Laboratory Demographics

  • CLIA Code: 14D2036091
  • Facility Name: MARIANO'S PHARMACY #8502
  • Facility Address: 1720 N MILWAUKEE AVE
    VERNON HILLS, IL
    ZIP 60061
  • Facility Phone: 847 816-3247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHILPA SARABU
  • NPI Number: 1992097174
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2036091
LAB Type Pharmacy
Facility Name MARIANO'S PHARMACY #8502
Street 1720 N MILWAUKEE AVE
City VERNON HILLS
State IL
ZIP 60061
Phone 847 816-3247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Pharmacy
Lab Director SHILPA SARABU

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