14D2051396 CLIA NUMBER - WALGREENS 01308

Laboratory Demographics

  • CLIA Code: 14D2051396
  • Facility Name: WALGREENS 01308
  • Facility Address: 7410 N CLARK ST
    CHICAGO, IL
    ZIP 60626
  • Facility Phone: 773 743-6784
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOLA AGEH
  • NPI Number: 1346255668
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2051396
LAB Type Pharmacy
Facility Name WALGREENS 01308
Street 7410 N CLARK ST
City CHICAGO
State IL
ZIP 60626
Phone 773 743-6784
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 DOLA AGEH

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