14D2058661 CLIA NUMBER - WALGREENS #15525

Laboratory Demographics

  • CLIA Code: 14D2058661
  • Facility Name: WALGREENS #15525
  • Facility Address: 251 E HURON ST, STE 1-210
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 312 951-1084
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEAN CHUNG
  • NPI Number: 1700900990
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2058661
LAB Type Pharmacy
Facility Name WALGREENS #15525
Street 251 E HURON ST, STE 1-210
City CHICAGO
State IL
ZIP 60611
Phone 312 951-1084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director SEAN CHUNG

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