14D2036093 CLIA NUMBER - MARIANO'S PHARMACY #8505

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Laboratory Demographics

CLIA Number: 14D2036093

Facility Name: MARIANO'S PHARMACY #8505

Facility Address:
545 N HICKS RD
PALATINE, IL
ZIP 60067
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Facility Phone Number: 847 963-4175

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1518244623

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	14D2036093
LAB Type	Pharmacy
Facility Name	MARIANO'S PHARMACY #8505
Street	545 N HICKS RD
City	PALATINE
State	IL
ZIP	60067
Phone	847 963-4175
CertificateType	4
CertificateEffectiveDate	2/1/2024
CertificateExpirationDate	1/31/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024