14D2223340 CLIA NUMBER - WALGREENS #13861

Laboratory Demographics

  • CLIA Code: 14D2223340
  • Facility Name: WALGREENS #13861
  • Facility Address: 2020 S NAPERVILLE RD
    WHEATON, IL
    ZIP 60189
  • Facility Phone: 630 682-2582
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY MARTIN
  • NPI Number: 1073528220
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2223340
LAB Type Pharmacy
Facility Name WALGREENS #13861
Street 2020 S NAPERVILLE RD
City WHEATON
State IL
ZIP 60189
Phone 630 682-2582
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 JEFFREY MARTIN

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