14D2234403 CLIA NUMBER - WALGREENS #04009

Laboratory Demographics

  • CLIA Code: 14D2234403
  • Facility Name: WALGREENS #04009
  • Facility Address: 4730 BUTTERFIELD RD
    HILLSIDE, IL
    ZIP 60162
  • Facility Phone: 708 547-6316
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELVIN THOMAS
  • NPI Number: 1235144494
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2234403
LAB Type Pharmacy
Facility Name WALGREENS #04009
Street 4730 BUTTERFIELD RD
City HILLSIDE
State IL
ZIP 60162
Phone 708 547-6316
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 MELVIN THOMAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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