14D2059072 CLIA NUMBER - WALGREENS #07457

Laboratory Demographics

  • CLIA Code: 14D2059072
  • Facility Name: WALGREENS #07457
  • Facility Address: 12000 PRINCETON DR
    HUNTLEY, IL
    ZIP 60142
  • Facility Phone: 224 569-6518
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLUWAFISAYO AWOSIKA
  • NPI Number: 1174804264
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2059072
LAB Type Pharmacy
Facility Name WALGREENS #07457
Street 12000 PRINCETON DR
City HUNTLEY
State IL
ZIP 60142
Phone 224 569-6518
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 OLUWAFISAYO AWOSIKA

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