14D2037877 CLIA NUMBER - WALGREENS #09441

Laboratory Demographics

  • CLIA Code: 14D2037877
  • Facility Name: WALGREENS #09441
  • Facility Address: 913 N MARKET ST
    WATERLOO, IL
    ZIP 62298
  • Facility Phone: 618 939-9944
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATALIE E. LAUER
  • NPI Number: 1467533844
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2037877
LAB Type Pharmacy
Facility Name WALGREENS #09441
Street 913 N MARKET ST
City WATERLOO
State IL
ZIP 62298
Phone 618 939-9944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director NATALIE E. LAUER

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