14D2227761 CLIA NUMBER - WALGREENS #05284

Laboratory Demographics

  • CLIA Code: 14D2227761
  • Facility Name: WALGREENS #05284
  • Facility Address: 1301 E ALGONQUIN RD
    ALGONQUIN, IL
    ZIP 60102
  • Facility Phone: 847 658-2904
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARPITA P. AMIN
  • NPI Number: 1780699918
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2227761
LAB Type Physician Office
Facility Name WALGREENS #05284
Street 1301 E ALGONQUIN RD
City ALGONQUIN
State IL
ZIP 60102
Phone 847 658-2904
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 Physician Office
Lab Director ARPITA P. AMIN

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