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14D2210066 CLIA NUMBER - J2SB LLC

Laboratory Demographics

CLIA Number: 14D2210066

Facility Name: J2SB LLC

Facility Address:
398 W ARMY TRAIL RD - UNIT 120
BLOOMINGDALE, IL
ZIP 60108
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Facility Phone Number: 847 610-5169

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1699389890

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 14D2210066
LAB Type Pharmacy
Facility Name J2SB LLC
Street 398 W ARMY TRAIL RD - UNIT 120
City BLOOMINGDALE
State IL
ZIP 60108
Phone 847 610-5169
CertificateType 4
CertificateEffectiveDate 1/19/2023
CertificateExpirationDate 1/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024