14D2215655 CLIA NUMBER - CVS/PHARMACY #10677 HIGHLAND PARK CVS, LLC

Laboratory Demographics

  • CLIA Code: 14D2215655
  • Facility Name: CVS/PHARMACY #10677 HIGHLAND PARK CVS, LLC
  • Facility Address: 2000 S NAPERVILLE RD
    WHEATON, IL
    ZIP 60187
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAZVIN MARFATIA
  • NPI Number: 1821010612
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2215655
LAB Type Pharmacy
Facility Name CVS/PHARMACY #10677 HIGHLAND PARK CVS, LLC
Street 2000 S NAPERVILLE RD
City WHEATON
State IL
ZIP 60187
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director KAZVIN MARFATIA

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