14D2036594 CLIA NUMBER - MARIANO'S PHARMACY #8519

Laboratory Demographics

  • CLIA Code: 14D2036594
  • Facility Name: MARIANO'S PHARMACY #8519
  • Facility Address: 3025 EAST NEW YORK ST
    AURORA, IL
    ZIP 60504
  • Facility Phone: 630 236-0847
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI PECK
  • NPI Number: 1588095483
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2036594
LAB Type Pharmacy
Facility Name MARIANO'S PHARMACY #8519
Street 3025 EAST NEW YORK ST
City AURORA
State IL
ZIP 60504
Phone 630 236-0847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Pharmacy
Lab Director LORI PECK

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