14D2239534 CLIA NUMBER - WALGREENS #09024

Laboratory Demographics

  • CLIA Code: 14D2239534
  • Facility Name: WALGREENS #09024
  • Facility Address: 5 W IRVING PARK RD
    BENSENVILLE, IL
    ZIP 60106
  • Facility Phone: 630 350-1178
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PINANK SHAH
  • NPI Number: 1417962655
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2239534
LAB Type Pharmacy
Facility Name WALGREENS #09024
Street 5 W IRVING PARK RD
City BENSENVILLE
State IL
ZIP 60106
Phone 630 350-1178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director PINANK SHAH

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