14D2195627 CLIA NUMBER - HOLY FAMILY PLAZA PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2195627
  • Facility Name: HOLY FAMILY PLAZA PHARMACY
  • Facility Address: 1400 E GOLF RD
    DES PLAINES, IL
    ZIP 60016
  • Facility Phone: 847 296-1400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIGNESH GANDHI
  • NPI Number: 1548202005
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2195627
LAB Type Pharmacy
Facility Name HOLY FAMILY PLAZA PHARMACY
Street 1400 E GOLF RD
City DES PLAINES
State IL
ZIP 60016
Phone 847 296-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Pharmacy
Lab Director JIGNESH GANDHI

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This page was last updated on: 3/20/2025