14D2051394 CLIA NUMBER - WALGREENS #11492

Laboratory Demographics

  • CLIA Code: 14D2051394
  • Facility Name: WALGREENS #11492
  • Facility Address: 5414 S ARCHER AVE
    CHICAGO, IL
    ZIP 60638
  • Facility Phone: 773 581-1664
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAREK BUCZYNSKI
  • NPI Number: 1528073756
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2051394
LAB Type Pharmacy
Facility Name WALGREENS #11492
Street 5414 S ARCHER AVE
City CHICAGO
State IL
ZIP 60638
Phone 773 581-1664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Pharmacy
Lab Director MAREK BUCZYNSKI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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