14D2207040 CLIA NUMBER - WALGREENS #03927

Laboratory Demographics

  • CLIA Code: 14D2207040
  • Facility Name: WALGREENS #03927
  • Facility Address: 13 E IRVING PARK RD
    STREAMWOOD, IL
    ZIP 60107
  • Facility Phone: (630) 540-5213
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: JIMIT Y. BAXI
  • NPI Number: 1528073707
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2207040
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #03927
Street 13 E IRVING PARK RD
City STREAMWOOD
State IL
ZIP 60107
Phone 6305405213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director JIMIT Y. BAXI

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