14D2056821 CLIA NUMBER - WALGREENS #10498

Laboratory Demographics

  • CLIA Code: 14D2056821
  • Facility Name: WALGREENS #10498
  • Facility Address: 1991 S BRIDGE ST
    YORKVILLE, IL
    ZIP 60560
  • Facility Phone: 630 553-6112
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HILDA HASSAN
  • NPI Number: 1952453037
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2056821
LAB Type Pharmacy
Facility Name WALGREENS #10498
Street 1991 S BRIDGE ST
City YORKVILLE
State IL
ZIP 60560
Phone 630 553-6112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director HILDA HASSAN

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