14D2216378 CLIA NUMBER - WALGREENS #07895

Laboratory Demographics

  • CLIA Code: 14D2216378
  • Facility Name: WALGREENS #07895
  • Facility Address: 27155 W EAMES ST
    CHANNAHON, IL
    ZIP 60410
  • Facility Phone: 815 521-0361
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDWARD O BRIEN
  • NPI Number: 1538231659
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2216378
LAB Type Pharmacy
Facility Name WALGREENS #07895
Street 27155 W EAMES ST
City CHANNAHON
State IL
ZIP 60410
Phone 815 521-0361
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 EDWARD O BRIEN

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