14D2049913 CLIA NUMBER - WALGREENS #04611

Laboratory Demographics

  • CLIA Code: 14D2049913
  • Facility Name: WALGREENS #04611
  • Facility Address: 3301 GLENVIEW RD
    GLENVIEW, IL
    ZIP 60025
  • Facility Phone: 847 724-0759
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMMANUEL ORILLO
  • NPI Number: 1093720286
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2049913
LAB Type Pharmacy
Facility Name WALGREENS #04611
Street 3301 GLENVIEW RD
City GLENVIEW
State IL
ZIP 60025
Phone 847 724-0759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Pharmacy
Lab Director EMMANUEL ORILLO

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