14D2049915 CLIA NUMBER - WALGREENS #05282

Laboratory Demographics

  • CLIA Code: 14D2049915
  • Facility Name: WALGREENS #05282
  • Facility Address: 5600 W TOUHY AVE
    NILES, IL
    ZIP 60714
  • Facility Phone: 847 588-1704
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER J. WILCZEK
  • NPI Number: 1427063601
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2049915
LAB Type Pharmacy
Facility Name WALGREENS #05282
Street 5600 W TOUHY AVE
City NILES
State IL
ZIP 60714
Phone 847 588-1704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER J. WILCZEK

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