14D2226272 CLIA NUMBER - WALGREENS #10971

Laboratory Demographics

  • CLIA Code: 14D2226272
  • Facility Name: WALGREENS #10971
  • Facility Address: 442 W STATE RD
    ISLAND LAKE, IL
    ZIP 60042
  • Facility Phone: 847 487-2532
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN KIM
  • NPI Number: 1003096496
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2226272
LAB Type Pharmacy
Facility Name WALGREENS #10971
Street 442 W STATE RD
City ISLAND LAKE
State IL
ZIP 60042
Phone 847 487-2532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director JOHN KIM

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