14D2201567 CLIA NUMBER - MARA PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2201567
  • Facility Name: MARA PHARMACY
  • Facility Address: 129 S ROSELLE RD #200
    SCHAUMBURG, IL
    ZIP 60193
  • Facility Phone: 847 641-5123
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALKABEN D. AMIN
  • NPI Number: 1720634728
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2201567
LAB Type Pharmacy
Facility Name MARA PHARMACY
Street 129 S ROSELLE RD #200
City SCHAUMBURG
State IL
ZIP 60193
Phone 847 641-5123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Pharmacy
Lab Director ALKABEN D. AMIN

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