14D2049139 CLIA NUMBER - WALGREENS #12304

Laboratory Demographics

  • CLIA Code: 14D2049139
  • Facility Name: WALGREENS #12304
  • Facility Address: 2744 N CALIFORNIA AVE
    CHICAGO, IL
    ZIP 60647
  • Facility Phone: 773 342-2818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRUTI V. PATEL
  • NPI Number: 1750517298
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2049139
LAB Type Pharmacy
Facility Name WALGREENS #12304
Street 2744 N CALIFORNIA AVE
City CHICAGO
State IL
ZIP 60647
Phone 773 342-2818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Pharmacy
Lab Director KRUTI V. PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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