14D2213985 CLIA NUMBER - WALGREENS #04572

Laboratory Demographics

  • CLIA Code: 14D2213985
  • Facility Name: WALGREENS #04572
  • Facility Address: 501 PLAINFIELD ROAD
    WILLOWBROOK, IL
    ZIP 60527
  • Facility Phone: 630 789-1797
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIRIJE CULAFOVSKI
  • NPI Number: 1144235318
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2213985
LAB Type Pharmacy
Facility Name WALGREENS #04572
Street 501 PLAINFIELD ROAD
City WILLOWBROOK
State IL
ZIP 60527
Phone 630 789-1797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Pharmacy
Lab Director LIRIJE CULAFOVSKI

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