14D2213991 CLIA NUMBER - WALGREENS #04277

Laboratory Demographics

  • CLIA Code: 14D2213991
  • Facility Name: WALGREENS #04277
  • Facility Address: 602 W LIBERTY STREET
    WAUCONDA, IL
    ZIP 60084
  • Facility Phone: 847 487-9383
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY A. SCHOTKE
  • NPI Number: 1518972785
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2213991
LAB Type Pharmacy
Facility Name WALGREENS #04277
Street 602 W LIBERTY STREET
City WAUCONDA
State IL
ZIP 60084
Phone 847 487-9383
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 JEFFREY A. SCHOTKE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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