14D2234902 CLIA NUMBER - WALGREENS #05712

Laboratory Demographics

  • CLIA Code: 14D2234902
  • Facility Name: WALGREENS #05712
  • Facility Address: 28W104 WARRENVILLE RD
    WARRENVILLE, IL
    ZIP 60555
  • Facility Phone: 630 836-9416
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. FELLO
  • NPI Number: 1558376749
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2234902
LAB Type Pharmacy
Facility Name WALGREENS #05712
Street 28W104 WARRENVILLE RD
City WARRENVILLE
State IL
ZIP 60555
Phone 630 836-9416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Pharmacy
Lab Director MICHAEL J. FELLO

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