14D2234712 CLIA NUMBER - WALGREENS #06176

Laboratory Demographics

  • CLIA Code: 14D2234712
  • Facility Name: WALGREENS #06176
  • Facility Address: 8300 LEMONT RD
    DARIEN, IL
    ZIP 60561
  • Facility Phone: 630 985-6419
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA ROSE DERRICO
  • NPI Number: 1194730390
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2234712
LAB Type Pharmacy
Facility Name WALGREENS #06176
Street 8300 LEMONT RD
City DARIEN
State IL
ZIP 60561
Phone 630 985-6419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Pharmacy
Lab Director AMANDA ROSE DERRICO

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