14D2053825 CLIA NUMBER - WALGREENS #09431

Laboratory Demographics

  • CLIA Code: 14D2053825
  • Facility Name: WALGREENS #09431
  • Facility Address: 376 N SUGAR GROVE PKWY
    SUGAR GROVE, IL
    ZIP 60554
  • Facility Phone: 630 466-8321
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNA L. STAUB
  • NPI Number: 1831449172
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2053825
LAB Type Pharmacy
Facility Name WALGREENS #09431
Street 376 N SUGAR GROVE PKWY
City SUGAR GROVE
State IL
ZIP 60554
Phone 630 466-8321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director JENNA L. STAUB

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