14D2049141 CLIA NUMBER - WALGREENS #10649

Laboratory Demographics

  • CLIA Code: 14D2049141
  • Facility Name: WALGREENS #10649
  • Facility Address: 3424 W BELMONT AVE
    CHICAGO, IL
    ZIP 60618
  • Facility Phone: 773 267-2328
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: ALEXANDER FRIEDMAN
  • NPI Number: 1831104132
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2049141
LAB Type Other - COVID TESTING
Facility Name WALGREENS #10649
Street 3424 W BELMONT AVE
City CHICAGO
State IL
ZIP 60618
Phone 773 267-2328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Other - COVID TESTING
Lab Director ALEXANDER FRIEDMAN

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