14D2225530 CLIA NUMBER - WALGREENS #07829

Laboratory Demographics

  • CLIA Code: 14D2225530
  • Facility Name: WALGREENS #07829
  • Facility Address: 680 S WEBER RD
    ROMEOVILLE, IL
    ZIP 60446
  • Facility Phone: 815 436-1628
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUZANNE HAMMANG
  • NPI Number: 1912912114
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2225530
LAB Type Pharmacy
Facility Name WALGREENS #07829
Street 680 S WEBER RD
City ROMEOVILLE
State IL
ZIP 60446
Phone 815 436-1628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director SUZANNE HAMMANG

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