14D2234648 CLIA NUMBER - WALGREENS #04935

Laboratory Demographics

  • CLIA Code: 14D2234648
  • Facility Name: WALGREENS #04935
  • Facility Address: 6809 W BELMONT AVE
    CHICAGO, IL
    ZIP 60634
  • Facility Phone: 773 237-6273
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHY C. SHIN
  • NPI Number: 1053326280
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2234648
LAB Type Pharmacy
Facility Name WALGREENS #04935
Street 6809 W BELMONT AVE
City CHICAGO
State IL
ZIP 60634
Phone 773 237-6273
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 CATHY C. SHIN

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