14D2049929 CLIA NUMBER - WALGREENS #07292

Laboratory Demographics

  • CLIA Code: 14D2049929
  • Facility Name: WALGREENS #07292
  • Facility Address: 2751 E MAIN ST
    SAINT CHARLES, IL
    ZIP 60174
  • Facility Phone: 630 513-9060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DHAVAL PATEL
  • NPI Number: 1053326298
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2049929
LAB Type Pharmacy
Facility Name WALGREENS #07292
Street 2751 E MAIN ST
City SAINT CHARLES
State IL
ZIP 60174
Phone 630 513-9060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Pharmacy
Lab Director DHAVAL PATEL

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