14D2213871 CLIA NUMBER - WALGREENS #04258

Laboratory Demographics

  • CLIA Code: 14D2213871
  • Facility Name: WALGREENS #04258
  • Facility Address: 810 W MAIN STREET
    WEST DUNDEE, IL
    ZIP 60118
  • Facility Phone: 847 426-1773
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COLLEEN M. VOGT
  • NPI Number: 1801801089
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2213871
LAB Type Pharmacy
Facility Name WALGREENS #04258
Street 810 W MAIN STREET
City WEST DUNDEE
State IL
ZIP 60118
Phone 847 426-1773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Pharmacy
Lab Director COLLEEN M. VOGT

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