14D2081845 CLIA NUMBER - WALGREENS #15482

Laboratory Demographics

  • CLIA Code: 14D2081845
  • Facility Name: WALGREENS #15482
  • Facility Address: 899 S IL ROUTE 59
    BARTLETT, IL
    ZIP 60103
  • Facility Phone: 630 213-5995
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTONIO A. RODRIGUEZ
  • NPI Number: 1518972751
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2081845
LAB Type Pharmacy
Facility Name WALGREENS #15482
Street 899 S IL ROUTE 59
City BARTLETT
State IL
ZIP 60103
Phone 630 213-5995
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 ANTONIO A. RODRIGUEZ

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