14D2049173 CLIA NUMBER - WALGREENS #04146

Laboratory Demographics

  • CLIA Code: 14D2049173
  • Facility Name: WALGREENS #04146
  • Facility Address: 1 N ELMHURST RD
    PROSPECT HEIGHTS, IL
    ZIP 60070
  • Facility Phone: 847 398-4673
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NKEIRUKA C. NNAM
  • NPI Number: 1336154558
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2049173
LAB Type Pharmacy
Facility Name WALGREENS #04146
Street 1 N ELMHURST RD
City PROSPECT HEIGHTS
State IL
ZIP 60070
Phone 847 398-4673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Pharmacy
Lab Director NKEIRUKA C. NNAM

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