14D2216798 CLIA NUMBER - WALGREENS #11739

Laboratory Demographics

  • CLIA Code: 14D2216798
  • Facility Name: WALGREENS #11739
  • Facility Address: 9950 N IL ROUTE 47
    HUNTLEY, IL
    ZIP 60142
  • Facility Phone: 847 669-7590
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIONEL SCHLICHT
  • NPI Number: 1497073571
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2216798
LAB Type Pharmacy
Facility Name WALGREENS #11739
Street 9950 N IL ROUTE 47
City HUNTLEY
State IL
ZIP 60142
Phone 847 669-7590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Pharmacy
Lab Director LIONEL SCHLICHT

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