14D2059071 CLIA NUMBER - WALGREENS #15211

Laboratory Demographics

  • CLIA Code: 14D2059071
  • Facility Name: WALGREENS #15211
  • Facility Address: 3232 LAKE AVE - STE 100
    WILMETTE, IL
    ZIP 60091
  • Facility Phone: 847 251-1413
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MONICA MOIS
  • NPI Number: 1447501234
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2059071
LAB Type Pharmacy
Facility Name WALGREENS #15211
Street 3232 LAKE AVE - STE 100
City WILMETTE
State IL
ZIP 60091
Phone 847 251-1413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director MONICA MOIS

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