14D2220883 CLIA NUMBER - WALGREENS #09984

Laboratory Demographics

  • CLIA Code: 14D2220883
  • Facility Name: WALGREENS #09984
  • Facility Address: 14902 S ROUTE 59
    PLAINFIELD, IL
    ZIP 60544
  • Facility Phone: 815 254-5792
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEANNA M. BECHTOLD
  • NPI Number: 1821208315
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2220883
LAB Type Pharmacy
Facility Name WALGREENS #09984
Street 14902 S ROUTE 59
City PLAINFIELD
State IL
ZIP 60544
Phone 815 254-5792
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Pharmacy
Lab Director DEANNA M. BECHTOLD

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