14D2036124 CLIA NUMBER - MARIANO'S PHARMACY #8501

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Laboratory Demographics

CLIA Number: 14D2036124

Facility Name: MARIANO'S PHARMACY #8501

Facility Address:
802 EAST NORTHWEST HWY
ARLINGTON HEIGHTS, IL
ZIP 60004
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Facility Phone Number: 847 253-5494

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1497071823

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	14D2036124
LAB Type	Pharmacy
Facility Name	MARIANO'S PHARMACY #8501
Street	802 EAST NORTHWEST HWY
City	ARLINGTON HEIGHTS
State	IL
ZIP	60004
Phone	847 253-5494
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