14D2037841 CLIA NUMBER - WALGREENS #10205

Laboratory Demographics

  • CLIA Code: 14D2037841
  • Facility Name: WALGREENS #10205
  • Facility Address: 640 EDWARDSVILLE RD
    TROY, IL
    ZIP 62294
  • Facility Phone: (618) 667-4267
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: LARRAH DUCKWORTH
  • NPI Number: 1700016417
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2037841
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #10205
Street 640 EDWARDSVILLE RD
City TROY
State IL
ZIP 62294
Phone 6186674267
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Other - COVID 19 TEST SITE
Lab Director LARRAH DUCKWORTH

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This page was last updated on: 5/18/2026