14D2051382 CLIA NUMBER - WALGREENS #03512

Laboratory Demographics

  • CLIA Code: 14D2051382
  • Facility Name: WALGREENS #03512
  • Facility Address: 1711 W CAMPBELL ST
    ARLINGTON HEIGHTS, IL
    ZIP 60005
  • Facility Phone: 847 577-7099
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GEORGE E. TOBEN JR
  • NPI Number: 1699780825
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2051382
LAB Type Pharmacy
Facility Name WALGREENS #03512
Street 1711 W CAMPBELL ST
City ARLINGTON HEIGHTS
State IL
ZIP 60005
Phone 847 577-7099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director GEORGE E. TOBEN JR

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