14D2243279 CLIA NUMBER - BUBBLEPACK PHAMARCY INC

Laboratory Demographics

  • CLIA Code: 14D2243279
  • Facility Name: BUBBLEPACK PHAMARCY INC
  • Facility Address: 2202 ESSINGTON RD - STE 104
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 815 267-3253
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HARISH BHATT
  • NPI Number: 1366565962
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2243279
LAB Type Pharmacy
Facility Name BUBBLEPACK PHAMARCY INC
Street 2202 ESSINGTON RD - STE 104
City JOLIET
State IL
ZIP 60435
Phone 815 267-3253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Pharmacy
Lab Director HARISH BHATT

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