14D2049924 CLIA NUMBER - WALGREENS #07419

Laboratory Demographics

  • CLIA Code: 14D2049924
  • Facility Name: WALGREENS #07419
  • Facility Address: 1601 N MAIN ST
    WHEATON, IL
    ZIP 60187
  • Facility Phone: 630 653-6940
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER HO
  • NPI Number: 1538174677
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2049924
LAB Type Other - COVID TESTING
Facility Name WALGREENS #07419
Street 1601 N MAIN ST
City WHEATON
State IL
ZIP 60187
Phone 630 653-6940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Other - COVID TESTING
Lab Director CHRISTOPHER HO

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