14D2259147 CLIA NUMBER - CVS/PHARMACY #06388 HIGHLAND PARK CVS, LLC

Laboratory Demographics

  • CLIA Code: 14D2259147
  • Facility Name: CVS/PHARMACY #06388 HIGHLAND PARK CVS, LLC
  • Facility Address: 801 W MAIN ST
    MARION, IL
    ZIP 62959
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY DONSBACH
  • NPI Number: 1477656148
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2259147
LAB Type Pharmacy
Facility Name CVS/PHARMACY #06388 HIGHLAND PARK CVS, LLC
Street 801 W MAIN ST
City MARION
State IL
ZIP 62959
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Pharmacy
Lab Director ZACHARY DONSBACH

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