14D2234480 CLIA NUMBER - WALGREENS #05355

Laboratory Demographics

  • CLIA Code: 14D2234480
  • Facility Name: WALGREENS #05355
  • Facility Address: 650 DIXIE HWY
    CHICAGO HEIGHTS, IL
    ZIP 60411
  • Facility Phone: 708 755-0058
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. KLOIBER
  • NPI Number: 1790790012
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2234480
LAB Type Pharmacy
Facility Name WALGREENS #05355
Street 650 DIXIE HWY
City CHICAGO HEIGHTS
State IL
ZIP 60411
Phone 708 755-0058
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 MATTHEW J. KLOIBER

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