14D2215304 CLIA NUMBER - WALGREENS #15471

Laboratory Demographics

  • CLIA Code: 14D2215304
  • Facility Name: WALGREENS #15471
  • Facility Address: 2191 W ROOSEVELT RD
    WHEATON, IL
    ZIP 60187
  • Facility Phone: (630) 668-3359
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATE ZAMORA
  • NPI Number: 1063141265
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2215304
LAB Type Pharmacy
Facility Name WALGREENS #15471
Street 2191 W ROOSEVELT RD
City WHEATON
State IL
ZIP 60187
Phone 6306683359
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 KATE ZAMORA

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This page was last updated on: 5/18/2026