14D2217476 CLIA NUMBER - CVS/PHARMACY #08946 HIGHLAND PARK CVS, LLC

Laboratory Demographics

  • CLIA Code: 14D2217476
  • Facility Name: CVS/PHARMACY #08946 HIGHLAND PARK CVS, LLC
  • Facility Address: 4186 IL ROUTE 83 BLDG G
    LONG GROVE, IL
    ZIP 60047
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH CHANG
  • NPI Number: 1033131842
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2217476
LAB Type Pharmacy
Facility Name CVS/PHARMACY #08946 HIGHLAND PARK CVS, LLC
Street 4186 IL ROUTE 83 BLDG G
City LONG GROVE
State IL
ZIP 60047
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director SARAH CHANG

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