14D2216372 CLIA NUMBER - WALGREENS #07409

Laboratory Demographics

  • CLIA Code: 14D2216372
  • Facility Name: WALGREENS #07409
  • Facility Address: 30 W CHURCH ST
    SANDWICH, IL
    ZIP 60548
  • Facility Phone: 815 786-8653
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABRIANA GUAZZELLI
  • NPI Number: 1386659597
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2216372
LAB Type Pharmacy
Facility Name WALGREENS #07409
Street 30 W CHURCH ST
City SANDWICH
State IL
ZIP 60548
Phone 815 786-8653
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 ABRIANA GUAZZELLI

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