14D2051383 CLIA NUMBER - WALGREENS #03136

Laboratory Demographics

  • CLIA Code: 14D2051383
  • Facility Name: WALGREENS #03136
  • Facility Address: 1201 CAMP JACKSON RD
    CAHOKIA, IL
    ZIP 62206
  • Facility Phone: 847 527-4238
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: JULIE D. BICKERS
  • NPI Number: 1609881861
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2051383
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #03136
Street 1201 CAMP JACKSON RD
City CAHOKIA
State IL
ZIP 62206
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director JULIE D. BICKERS

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