14D2215282 CLIA NUMBER - WALGREENS #07515

Laboratory Demographics

  • CLIA Code: 14D2215282
  • Facility Name: WALGREENS #07515
  • Facility Address: 7155 W FOSTER PL
    CHICAGO, IL
    ZIP 60656
  • Facility Phone: 773 631-3927
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIANA R. DIBENEDETTO
  • NPI Number: 1508149865
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 14D2215282
LAB Type Pharmacy
Facility Name WALGREENS #07515
Street 7155 W FOSTER PL
City CHICAGO
State IL
ZIP 60656
Phone 773 631-3927
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Pharmacy
Lab Director BRIANA R. DIBENEDETTO

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