14D2235558 CLIA NUMBER - WALGREENS #11662

Laboratory Demographics

  • CLIA Code: 14D2235558
  • Facility Name: WALGREENS #11662
  • Facility Address: 189 W NORTHWEST HWY
    BARRINGTON, IL
    ZIP 60010
  • Facility Phone: 847 381-0689
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA R. PACHOLOK
  • NPI Number: 1891935995
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2235558
LAB Type Pharmacy
Facility Name WALGREENS #11662
Street 189 W NORTHWEST HWY
City BARRINGTON
State IL
ZIP 60010
Phone 847 381-0689
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 AMANDA R. PACHOLOK

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