14D2201658 CLIA NUMBER - ARKINS DRUG STORE

Laboratory Demographics

  • CLIA Code: 14D2201658
  • Facility Name: ARKINS DRUG STORE
  • Facility Address: 1033 8TH ST
    LA SALLE, IL
    ZIP 61301
  • Facility Phone: (815) 223-0460
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEAN WILMOT
  • NPI Number: 1619027901
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2201658
LAB Type Pharmacy
Facility Name ARKINS DRUG STORE
Street 1033 8TH ST
City LA SALLE
State IL
ZIP 61301
Phone 8152230460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Pharmacy
Lab Director DEAN WILMOT

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This page was last updated on: 5/18/2026