14D2051390 CLIA NUMBER - WALGREENS 01593

Laboratory Demographics

  • CLIA Code: 14D2051390
  • Facility Name: WALGREENS 01593
  • Facility Address: 5230 N MILWAUKEE AVE
    CHICAGO, IL
    ZIP 60630
  • Facility Phone: 773 736-8920
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATEL UMESH
  • NPI Number: 1982619102
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2051390
LAB Type Pharmacy
Facility Name WALGREENS 01593
Street 5230 N MILWAUKEE AVE
City CHICAGO
State IL
ZIP 60630
Phone 773 736-8920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director PATEL UMESH

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