14D2166821 CLIA NUMBER - MARIANO'S PHARMACY #543

Laboratory Demographics

  • CLIA Code: 14D2166821
  • Facility Name: MARIANO'S PHARMACY #543
  • Facility Address: 345 W ROOSEVELT RD
    LOMBARD, IL
    ZIP 60148
  • Facility Phone: 630 629-4475
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACY DOYLE
  • NPI Number: 1477098978
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2166821
LAB Type Pharmacy
Facility Name MARIANO'S PHARMACY #543
Street 345 W ROOSEVELT RD
City LOMBARD
State IL
ZIP 60148
Phone 630 629-4475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Pharmacy
Lab Director STACY DOYLE

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