14D2224317 CLIA NUMBER - WALGREENS #04743

Laboratory Demographics

  • CLIA Code: 14D2224317
  • Facility Name: WALGREENS #04743
  • Facility Address: 16675 OAK PARK AVE
    TINLEY PARK, IL
    ZIP 60477
  • Facility Phone: 708 429-0880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD A. TREMMEL
  • NPI Number: 1285641217
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2224317
LAB Type Pharmacy
Facility Name WALGREENS #04743
Street 16675 OAK PARK AVE
City TINLEY PARK
State IL
ZIP 60477
Phone 708 429-0880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director RICHARD A. TREMMEL

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