14D2037835 CLIA NUMBER - WALGREENS #01309

Laboratory Demographics

  • CLIA Code: 14D2037835
  • Facility Name: WALGREENS #01309
  • Facility Address: 110 WALNUT ST
    HIGHLAND, IL
    ZIP 62249
  • Facility Phone: 618 651-1204
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: COLETTE HUELSMANN
  • NPI Number: 1639184849
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2037835
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #01309
Street 110 WALNUT ST
City HIGHLAND
State IL
ZIP 62249
Phone 618 651-1204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director COLETTE HUELSMANN

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