14D2036093 CLIA NUMBER - MARIANO'S PHARMACY #8505

Laboratory Demographics

  • CLIA Code: 14D2036093
  • Facility Name: MARIANO'S PHARMACY #8505
  • Facility Address: 545 N HICKS RD
    PALATINE, IL
    ZIP 60067
  • Facility Phone: 847 963-4175
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARINA SIMONOFF
  • NPI Number: 1518244623
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

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
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 MARINA SIMONOFF

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: 6/4/2025