Healther Providers Data Logo

14D2215284 CLIA NUMBER - WALGREENS #09217

Laboratory Demographics

CLIA Number: 14D2215284

Facility Name: WALGREENS #09217

Facility Address:
309 W SAINT CHARLES RD
LOMBARD, IL
ZIP 60148
Get Directions

Facility Phone Number: 630 953-0508

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1437164753

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 14D2215284
LAB Type Pharmacy
Facility Name WALGREENS #09217
Street 309 W SAINT CHARLES RD
City LOMBARD
State IL
ZIP 60148
Phone 630 953-0508
CertificateType 4
CertificateEffectiveDate 3/2/2023
CertificateExpirationDate 3/1/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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