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14D2214067 CLIA NUMBER - WALGREENS #12125

Laboratory Demographics

CLIA Number: 14D2214067

Facility Name: WALGREENS #12125

Facility Address:
9 N UNION STREET
AURORA, IL
ZIP 60505
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Facility Phone Number: 630 585-7594

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1518972835

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 14D2214067
LAB Type Pharmacy
Facility Name WALGREENS #12125
Street 9 N UNION STREET
City AURORA
State IL
ZIP 60505
Phone 630 585-7594
CertificateType 4
CertificateEffectiveDate 2/18/2023
CertificateExpirationDate 2/17/2025
FacilityType Waiver

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