14D2235394 CLIA NUMBER - WALGREENS #05127

Laboratory Demographics

  • CLIA Code: 14D2235394
  • Facility Name: WALGREENS #05127
  • Facility Address: 18133 TORRENCE AVE
    LANSING, IL
    ZIP 60438
  • Facility Phone: 708 889-0130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VANESSA D. KING-FRANKLIN
  • NPI Number: 1619983111
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2235394
LAB Type Pharmacy
Facility Name WALGREENS #05127
Street 18133 TORRENCE AVE
City LANSING
State IL
ZIP 60438
Phone 708 889-0130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Pharmacy
Lab Director VANESSA D. KING-FRANKLIN

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