14D2051413 CLIA NUMBER - WALGREENS 01298

Laboratory Demographics

  • CLIA Code: 14D2051413
  • Facility Name: WALGREENS 01298
  • Facility Address: 1372 N MILWAUKEE AVE
    CHICAGO, IL
    ZIP 60622
  • Facility Phone: 773 772-0941
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER P. MORREALE
  • NPI Number: 1225044811
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2051413
LAB Type Pharmacy
Facility Name WALGREENS 01298
Street 1372 N MILWAUKEE AVE
City CHICAGO
State IL
ZIP 60622
Phone 773 772-0941
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Pharmacy
Lab Director CHRISTOPHER P. MORREALE

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