14D2182067 CLIA NUMBER - SUPER CARE PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2182067
  • Facility Name: SUPER CARE PHARMACY
  • Facility Address: 8305 SKOKIE BLVD
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: 847 983-8856
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN M. KOZELUH
  • NPI Number: 1376991851
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2182067
LAB Type Pharmacy
Facility Name SUPER CARE PHARMACY
Street 8305 SKOKIE BLVD
City SKOKIE
State IL
ZIP 60076
Phone 847 983-8856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Pharmacy
Lab Director KEVIN M. KOZELUH

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