14D2059907 CLIA NUMBER - WALGREENS 4040

Laboratory Demographics

  • CLIA Code: 14D2059907
  • Facility Name: WALGREENS 4040
  • Facility Address: 500 NORTHWEST HWY
    CARY, IL
    ZIP 60013
  • Facility Phone: 847 516-3806
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHIOMA WOSU EZI
  • NPI Number: 1326053588
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Pharmacy
Lab Director CHIOMA WOSU EZI

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