14D2228066 CLIA NUMBER - WALGREENS #09331

Laboratory Demographics

  • CLIA Code: 14D2228066
  • Facility Name: WALGREENS #09331
  • Facility Address: 8400 171ST ST
    TINLEY PARK, IL
    ZIP 60487
  • Facility Phone: 708 429-3324
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAIMIE M. SZCZECINSKI
  • NPI Number: 1235144486
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2228066
LAB Type Pharmacy
Facility Name WALGREENS #09331
Street 8400 171ST ST
City TINLEY PARK
State IL
ZIP 60487
Phone 708 429-3324
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Pharmacy
Lab Director JAIMIE M. SZCZECINSKI

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