14D2037830 CLIA NUMBER - WALGREENS #04337

Laboratory Demographics

  • CLIA Code: 14D2037830
  • Facility Name: WALGREENS #04337
  • Facility Address: 172 E MCARTHUR DR
    BETHALTO, IL
    ZIP 62010
  • Facility Phone: 618 258-0822
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY M. MEADOR
  • NPI Number: 1609881879
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2037830
LAB Type Pharmacy
Facility Name WALGREENS #04337
Street 172 E MCARTHUR DR
City BETHALTO
State IL
ZIP 62010
Phone 618 258-0822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Pharmacy
Lab Director KIMBERLY M. MEADOR

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