14D2223337 CLIA NUMBER - WALGREENS #01438

Laboratory Demographics

  • CLIA Code: 14D2223337
  • Facility Name: WALGREENS #01438
  • Facility Address: 2501 WAUKEGAN RD
    BANNOCKBURN, IL
    ZIP 60015
  • Facility Phone: 847 940-8104
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUPAL R. JOHNSON
  • NPI Number: 1629083845
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2223337
LAB Type Pharmacy
Facility Name WALGREENS #01438
Street 2501 WAUKEGAN RD
City BANNOCKBURN
State IL
ZIP 60015
Phone 847 940-8104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Pharmacy
Lab Director RUPAL R. JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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