14D2059907 CLIA NUMBER - WALGREENS 4040

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Laboratory Demographics

CLIA Number: 14D2059907

Facility Name: WALGREENS 4040

Facility Address:
500 NORTHWEST HWY
CARY, IL
ZIP 60013
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Facility Phone Number: 847 516-3806

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1326053588

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	14D2059907
LAB Type	Pharmacy
Facility Name	WALGREENS 4040
Street	500 NORTHWEST HWY
City	CARY
State	IL
ZIP	60013
Phone	847 516-3806
CertificateType	4
CertificateEffectiveDate	8/21/2023
CertificateExpirationDate	8/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024