14D2056289 CLIA NUMBER - WALGREENS 02711

Laboratory Demographics

  • CLIA Code: 14D2056289
  • Facility Name: WALGREENS 02711
  • Facility Address: 7150 W ARCHER AVE
    CHICAGO, IL
    ZIP 60638
  • Facility Phone: 773 229-1447
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANUPAM VERMA
  • NPI Number: 1689680076
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2056289
LAB Type Pharmacy
Facility Name WALGREENS 02711
Street 7150 W ARCHER AVE
City CHICAGO
State IL
ZIP 60638
Phone 773 229-1447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Pharmacy
Lab Director ANUPAM VERMA

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