14D2224339 CLIA NUMBER - WALGREENS #04252

Laboratory Demographics

  • CLIA Code: 14D2224339
  • Facility Name: WALGREENS #04252
  • Facility Address: 10 E SAINT CHARLES RD
    VILLA PARK, IL
    ZIP 60181
  • Facility Phone: 630 832-6030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GRACE HO
  • NPI Number: 1841207875
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2224339
LAB Type Pharmacy
Facility Name WALGREENS #04252
Street 10 E SAINT CHARLES RD
City VILLA PARK
State IL
ZIP 60181
Phone 630 832-6030
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 GRACE HO

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