14D2115393 CLIA NUMBER - MARIANO'S PHARMACY #8533

Laboratory Demographics

  • CLIA Code: 14D2115393
  • Facility Name: MARIANO'S PHARMACY #8533
  • Facility Address: 784 SKOKIE BLVD
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: 847 559-1214
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINET KATTOOKARAN
  • NPI Number: 1689059024
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2115393
LAB Type Pharmacy
Facility Name MARIANO'S PHARMACY #8533
Street 784 SKOKIE BLVD
City NORTHBROOK
State IL
ZIP 60062
Phone 847 559-1214
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 LINET KATTOOKARAN

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