14D2059915 CLIA NUMBER - WALGREENS 01310

Laboratory Demographics

  • CLIA Code: 14D2059915
  • Facility Name: WALGREENS 01310
  • Facility Address: 3110 W ARMITAGE AVE
    CHICAGO, IL
    ZIP 60647
  • Facility Phone: 773 235-6758
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SETH GLASBRENNER
  • NPI Number: 1891700019
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2059915
LAB Type Pharmacy
Facility Name WALGREENS 01310
Street 3110 W ARMITAGE AVE
City CHICAGO
State IL
ZIP 60647
Phone 773 235-6758
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Pharmacy
Lab Director SETH GLASBRENNER

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