14D2221706 CLIA NUMBER - WALGREENS #10605

Laboratory Demographics

  • CLIA Code: 14D2221706
  • Facility Name: WALGREENS #10605
  • Facility Address: 1160 W JEFFERSON ST
    SHOREWOOD, IL
    ZIP 60404
  • Facility Phone: 815 744-2439
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHLEEN A. PURVIS
  • NPI Number: 1770748535
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2221706
LAB Type Pharmacy
Facility Name WALGREENS #10605
Street 1160 W JEFFERSON ST
City SHOREWOOD
State IL
ZIP 60404
Phone 815 744-2439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director KATHLEEN A. PURVIS

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