14D2234650 CLIA NUMBER - WALGREENS #03928

Laboratory Demographics

  • CLIA Code: 14D2234650
  • Facility Name: WALGREENS #03928
  • Facility Address: 18301 PULASKI AVE
    HAZEL CREST, IL
    ZIP 60429
  • Facility Phone: (708) 335-4180
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSHILA A. PATEL
  • NPI Number: 1437164605
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2234650
LAB Type Pharmacy
Facility Name WALGREENS #03928
Street 18301 PULASKI AVE
City HAZEL CREST
State IL
ZIP 60429
Phone 7083354180
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 SUSHILA A. PATEL

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This page was last updated on: 5/18/2026