14D2112001 CLIA NUMBER - BARTLETT PHARMACY INC

Laboratory Demographics

  • CLIA Code: 14D2112001
  • Facility Name: BARTLETT PHARMACY INC
  • Facility Address: 300 W BARTLETT AVE
    BARTLETT, IL
    ZIP 60103
  • Facility Phone: (630) 855-5178
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NAHREN KHOSHABA
  • NPI Number: 1518328186
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2112001
LAB Type Pharmacy
Facility Name BARTLETT PHARMACY INC
Street 300 W BARTLETT AVE
City BARTLETT
State IL
ZIP 60103
Phone 6308555178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2026
Certificate Expiration Date 4/19/2028
Facility Type Pharmacy
Lab Director NAHREN KHOSHABA

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This page was last updated on: 5/18/2026