14D2062587 CLIA NUMBER - WALGREENS #05711

Laboratory Demographics

  • CLIA Code: 14D2062587
  • Facility Name: WALGREENS #05711
  • Facility Address: 17 W GOLF RD
    DES PLAINES, IL
    ZIP 60016
  • Facility Phone: 847 527-4238
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: TRUSHAR W. PATEL
  • NPI Number: 1447532973
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 14D2062587
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #05711
Street 17 W GOLF RD
City DES PLAINES
State IL
ZIP 60016
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director TRUSHAR W. PATEL

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