14D2216370 CLIA NUMBER - WALGREENS #07212

Laboratory Demographics

  • CLIA Code: 14D2216370
  • Facility Name: WALGREENS #07212
  • Facility Address: 1010 MAPLE AVE
    LISLE, IL
    ZIP 60532
  • Facility Phone: 630 353-0252
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARINA TOSKA
  • NPI Number: 1821003039
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2216370
LAB Type Pharmacy
Facility Name WALGREENS #07212
Street 1010 MAPLE AVE
City LISLE
State IL
ZIP 60532
Phone 630 353-0252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director MARINA TOSKA

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