14D2215495 CLIA NUMBER - WALGREENS #05275

Laboratory Demographics

  • CLIA Code: 14D2215495
  • Facility Name: WALGREENS #05275
  • Facility Address: 8 W 63RD ST
    WESTMONT, IL
    ZIP 60559
  • Facility Phone: 630 852-9390
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE KAMINSKAS
  • NPI Number: 1801801949
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2215495
LAB Type Pharmacy
Facility Name WALGREENS #05275
Street 8 W 63RD ST
City WESTMONT
State IL
ZIP 60559
Phone 630 852-9390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Pharmacy
Lab Director KATHERINE KAMINSKAS

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