14D2234389 CLIA NUMBER - WALGREENS #09059

Laboratory Demographics

  • CLIA Code: 14D2234389
  • Facility Name: WALGREENS #09059
  • Facility Address: 4001 W ALGONQUIN RD
    ALGONQUIN, IL
    ZIP 60102
  • Facility Phone: 224 569-2582
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTOR I. GENEL
  • NPI Number: 1104831213
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2234389
LAB Type Pharmacy
Facility Name WALGREENS #09059
Street 4001 W ALGONQUIN RD
City ALGONQUIN
State IL
ZIP 60102
Phone 224 569-2582
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 VICTOR I. GENEL

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