14D2215292 CLIA NUMBER - WALGREENS #11195

Laboratory Demographics

  • CLIA Code: 14D2215292
  • Facility Name: WALGREENS #11195
  • Facility Address: 347 N INDEPENDENCE BLVD
    ROMEOVILLE, IL
    ZIP 60446
  • Facility Phone: 815 293-1152
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER D. LOFKY
  • NPI Number: 1972750750
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2215292
LAB Type Pharmacy
Facility Name WALGREENS #11195
Street 347 N INDEPENDENCE BLVD
City ROMEOVILLE
State IL
ZIP 60446
Phone 815 293-1152
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 CHRISTOPHER D. LOFKY

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