14D2115363 CLIA NUMBER - MARIANO'S PHARMACY #8531

Laboratory Demographics

  • CLIA Code: 14D2115363
  • Facility Name: MARIANO'S PHARMACY #8531
  • Facility Address: 3358 W TOUHY
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: 847 763-9023
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANH CAO
  • NPI Number: 1770976102
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2115363
LAB Type Pharmacy
Facility Name MARIANO'S PHARMACY #8531
Street 3358 W TOUHY
City SKOKIE
State IL
ZIP 60076
Phone 847 763-9023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Pharmacy
Lab Director ANH CAO

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