14D2207242 CLIA NUMBER - WALGREENS #05735

Laboratory Demographics

  • CLIA Code: 14D2207242
  • Facility Name: WALGREENS #05735
  • Facility Address: 641 MEACHAM RD
    ELK GROVE VILLAGE, IL
    ZIP 60007
  • Facility Phone: 847 527-4238
  • Facility Type: Other - COVID 19 TESTING SITE
  • Facility Type: Waiver
  • Lab Director: MINA R. PATEL
  • NPI Number: 1710992904
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2207242
LAB Type Other - COVID 19 TESTING SITE
Facility Name WALGREENS #05735
Street 641 MEACHAM RD
City ELK GROVE VILLAGE
State IL
ZIP 60007
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Other - COVID 19 TESTING SITE
Lab Director MINA R. PATEL

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