14D2058672 CLIA NUMBER - WALGREENS #02473

Laboratory Demographics

  • CLIA Code: 14D2058672
  • Facility Name: WALGREENS #02473
  • Facility Address: 1700 1ST AVE
    ROCK FALLS, IL
    ZIP 61071
  • Facility Phone: 815 626-9562
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE K. ZENAIDA
  • NPI Number: 1063427284
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2058672
LAB Type Pharmacy
Facility Name WALGREENS #02473
Street 1700 1ST AVE
City ROCK FALLS
State IL
ZIP 61071
Phone 815 626-9562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director DANIELLE K. ZENAIDA

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