14D2115364 CLIA NUMBER - MARIANO'S PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2115364
  • Facility Name: MARIANO'S PHARMACY
  • Facility Address: 2323 CAPITAL DR
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: 847 513-0077
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN WOODEN
  • NPI Number: 1356720486
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2115364
LAB Type Pharmacy
Facility Name MARIANO'S PHARMACY
Street 2323 CAPITAL DR
City NORTHBROOK
State IL
ZIP 60062
Phone 847 513-0077
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 SUSAN WOODEN

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