14D2056266 CLIA NUMBER - WALGREENS #06297

Laboratory Demographics

  • CLIA Code: 14D2056266
  • Facility Name: WALGREENS #06297
  • Facility Address: 6016 W 63RD ST
    CHICAGO, IL
    ZIP 60638
  • Facility Phone: (773) 788-0180
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON J. KOPINSKI
  • NPI Number: 1255346573
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2056266
LAB Type Pharmacy
Facility Name WALGREENS #06297
Street 6016 W 63RD ST
City CHICAGO
State IL
ZIP 60638
Phone 7737880180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director JASON J. KOPINSKI

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This page was last updated on: 5/18/2026