14D2056294 CLIA NUMBER - WALGREENS #12772

Laboratory Demographics

  • CLIA Code: 14D2056294
  • Facility Name: WALGREENS #12772
  • Facility Address: 589 N MCLEAN BLVD
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 847 697-9873
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK B. ABADINES
  • NPI Number: 1154336394
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2056294
LAB Type Pharmacy
Facility Name WALGREENS #12772
Street 589 N MCLEAN BLVD
City ELGIN
State IL
ZIP 60123
Phone 847 697-9873
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 MARK B. ABADINES

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