14D2049168 CLIA NUMBER - WALGREENS #06629

Laboratory Demographics

  • CLIA Code: 14D2049168
  • Facility Name: WALGREENS #06629
  • Facility Address: 8701 S CICERO AVE
    HOMETOWN, IL
    ZIP 60456
  • Facility Phone: 708 423-6430
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMAL M. BARBARAWI
  • NPI Number: 1841205143
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2049168
LAB Type Pharmacy
Facility Name WALGREENS #06629
Street 8701 S CICERO AVE
City HOMETOWN
State IL
ZIP 60456
Phone 708 423-6430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director AMAL M. BARBARAWI

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