14D2224874 CLIA NUMBER - WALGREENS #05925

Laboratory Demographics

  • CLIA Code: 14D2224874
  • Facility Name: WALGREENS #05925
  • Facility Address: 11053 SOUTHWEST HWY
    PALOS HILLS, IL
    ZIP 60465
  • Facility Phone: 708 974-0532
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MERNA OSMAN
  • NPI Number: 1912912122
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2224874
LAB Type Pharmacy
Facility Name WALGREENS #05925
Street 11053 SOUTHWEST HWY
City PALOS HILLS
State IL
ZIP 60465
Phone 708 974-0532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Pharmacy
Lab Director MERNA OSMAN

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