14D2216380 CLIA NUMBER - WALGREENS #12287

Laboratory Demographics

  • CLIA Code: 14D2216380
  • Facility Name: WALGREENS #12287
  • Facility Address: 1732 S WEST AVE
    FREEPORT, IL
    ZIP 61032
  • Facility Phone: (815) 235-8148
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REKHA RAHEJA
  • NPI Number: 1174761381
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2216380
LAB Type Pharmacy
Facility Name WALGREENS #12287
Street 1732 S WEST AVE
City FREEPORT
State IL
ZIP 61032
Phone 8152358148
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 REKHA RAHEJA

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This page was last updated on: 5/18/2026