14D2234370 CLIA NUMBER - WALGREENS #06377

Laboratory Demographics

  • CLIA Code: 14D2234370
  • Facility Name: WALGREENS #06377
  • Facility Address: 13023 S LA GRANGE RD
    PALOS PARK, IL
    ZIP 60464
  • Facility Phone: 708 361-2291
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIYAN K. STOYKOV
  • NPI Number: 1902811102
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2234370
LAB Type Pharmacy
Facility Name WALGREENS #06377
Street 13023 S LA GRANGE RD
City PALOS PARK
State IL
ZIP 60464
Phone 708 361-2291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Pharmacy
Lab Director MARIYAN K. STOYKOV

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