14D2056270 CLIA NUMBER - WALGREENS #05384

Laboratory Demographics

  • CLIA Code: 14D2056270
  • Facility Name: WALGREENS #05384
  • Facility Address: 4700 GILBERT AVE
    WESTERN SPRINGS, IL
    ZIP 60558
  • Facility Phone: 708 246-5120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY J. DEMPSEY
  • NPI Number: 1275548315
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2056270
LAB Type Pharmacy
Facility Name WALGREENS #05384
Street 4700 GILBERT AVE
City WESTERN SPRINGS
State IL
ZIP 60558
Phone 708 246-5120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Pharmacy
Lab Director ASHLEY J. DEMPSEY

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