14D2195583 CLIA NUMBER - WALGREENS #05193

Laboratory Demographics

  • CLIA Code: 14D2195583
  • Facility Name: WALGREENS #05193
  • Facility Address: 3145 W 147TH ST
    POSEN, IL
    ZIP 60469
  • Facility Phone: 937 681-0351
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: ZACHARY W. WOLF
  • NPI Number: 1336154517
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2195583
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #05193
Street 3145 W 147TH ST
City POSEN
State IL
ZIP 60469
Phone 937 681-0351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director ZACHARY W. WOLF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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