14D2059906 CLIA NUMBER - WALGREENS #15261

Laboratory Demographics

  • CLIA Code: 14D2059906
  • Facility Name: WALGREENS #15261
  • Facility Address: 283 W IL ROUTE 173
    ANTIOCH, IL
    ZIP 60002
  • Facility Phone: 847 395-0337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA D. REISING
  • NPI Number: 1164437398
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2059906
LAB Type Pharmacy
Facility Name WALGREENS #15261
Street 283 W IL ROUTE 173
City ANTIOCH
State IL
ZIP 60002
Phone 847 395-0337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director AMANDA D. REISING

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