14D2234646 CLIA NUMBER - WALGREENS #11332

Laboratory Demographics

  • CLIA Code: 14D2234646
  • Facility Name: WALGREENS #11332
  • Facility Address: 4101 N HARLEM AVE
    NORRIDGE, IL
    ZIP 60706
  • Facility Phone: 708 457-0606
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW RUETTIGER
  • NPI Number: 1578578878
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2234646
LAB Type Pharmacy
Facility Name WALGREENS #11332
Street 4101 N HARLEM AVE
City NORRIDGE
State IL
ZIP 60706
Phone 708 457-0606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director ANDREW RUETTIGER

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