14D2227760 CLIA NUMBER - WALGREENS #15907

Laboratory Demographics

  • CLIA Code: 14D2227760
  • Facility Name: WALGREENS #15907
  • Facility Address: 800 DEVON AVE
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: 847 825-7194
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RALPH A. CARDONE
  • NPI Number: 1871508903
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2227760
LAB Type Pharmacy
Facility Name WALGREENS #15907
Street 800 DEVON AVE
City PARK RIDGE
State IL
ZIP 60068
Phone 847 825-7194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director RALPH A. CARDONE

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