14D2084188 CLIA NUMBER - WALGREENS #04218

Laboratory Demographics

  • CLIA Code: 14D2084188
  • Facility Name: WALGREENS #04218
  • Facility Address: 900 DODGE AVE
    EVANSTON, IL
    ZIP 60202
  • Facility Phone: 847 475-7287
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: HILARY ANTAR
  • NPI Number: 1710993290
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2084188
LAB Type Other - COVID TESTING
Facility Name WALGREENS #04218
Street 900 DODGE AVE
City EVANSTON
State IL
ZIP 60202
Phone 847 475-7287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Other - COVID TESTING
Lab Director HILARY ANTAR

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