14D2234123 CLIA NUMBER - WALGREENS 04939

Laboratory Demographics

  • CLIA Code: 14D2234123
  • Facility Name: WALGREENS 04939
  • Facility Address: 2205 W 22ND ST
    OAK BROOK, IL
    ZIP 60523
  • Facility Phone: 630 928-0386
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA WENCEL
  • NPI Number: 1891700076
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2234123
LAB Type Pharmacy
Facility Name WALGREENS 04939
Street 2205 W 22ND ST
City OAK BROOK
State IL
ZIP 60523
Phone 630 928-0386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Pharmacy
Lab Director ANNA WENCEL

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