14D2235540 CLIA NUMBER - WALGREENS #09404

Laboratory Demographics

  • CLIA Code: 14D2235540
  • Facility Name: WALGREENS #09404
  • Facility Address: 1180 N FARNSWORTH AVE
    AURORA, IL
    ZIP 60505
  • Facility Phone: 630 820-5699
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BLANCA L. CONTRERAS
  • NPI Number: 1518972835
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2235540
LAB Type Pharmacy
Facility Name WALGREENS #09404
Street 1180 N FARNSWORTH AVE
City AURORA
State IL
ZIP 60505
Phone 630 820-5699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2023
Certificate Expiration Date 9/8/2025
Facility Type Pharmacy
Lab Director BLANCA L. CONTRERAS

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This page was last updated on: 6/4/2025