14D2217946 CLIA NUMBER - WALGREENS #07596

Laboratory Demographics

  • CLIA Code: 14D2217946
  • Facility Name: WALGREENS #07596
  • Facility Address: 1001 N MAIN ST
    ELBURN, IL
    ZIP 60119
  • Facility Phone: 630 365-9176
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS QUITNO
  • NPI Number: 1366670960
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2217946
LAB Type Pharmacy
Facility Name WALGREENS #07596
Street 1001 N MAIN ST
City ELBURN
State IL
ZIP 60119
Phone 630 365-9176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director CHRIS QUITNO

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