14D2049931 CLIA NUMBER - WALGREENS #09505

Laboratory Demographics

  • CLIA Code: 14D2049931
  • Facility Name: WALGREENS #09505
  • Facility Address: 445 E MAPLE AVE
    ROSELLE, IL
    ZIP 60172
  • Facility Phone: 630 893-5171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE G. YU
  • NPI Number: 1457387714
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2049931
LAB Type Pharmacy
Facility Name WALGREENS #09505
Street 445 E MAPLE AVE
City ROSELLE
State IL
ZIP 60172
Phone 630 893-5171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Pharmacy
Lab Director KATHERINE G. YU

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