14D2228081 CLIA NUMBER - WALGREENS #06764

Laboratory Demographics

  • CLIA Code: 14D2228081
  • Facility Name: WALGREENS #06764
  • Facility Address: 2155 RANDALL RD
    CARPENTERSVILLE, IL
    ZIP 60110
  • Facility Phone: 847 428-2773
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SYLWIA SZYPULA
  • NPI Number: 1437353448
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2228081
LAB Type Pharmacy
Facility Name WALGREENS #06764
Street 2155 RANDALL RD
City CARPENTERSVILLE
State IL
ZIP 60110
Phone 847 428-2773
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 SYLWIA SZYPULA

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