14D2040885 CLIA NUMBER - WALGREENS #05137

Laboratory Demographics

  • CLIA Code: 14D2040885
  • Facility Name: WALGREENS #05137
  • Facility Address: 1310 S 5TH ST
    SPRINGFIELD, IL
    ZIP 62703
  • Facility Phone: 847 527-4238
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: HEATHER L. FITZGERALD
  • NPI Number: 1891701397
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2040885
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #05137
Street 1310 S 5TH ST
City SPRINGFIELD
State IL
ZIP 62703
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director HEATHER L. FITZGERALD

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