14D2277498 CLIA NUMBER - WALGREENS 21330

Laboratory Demographics

  • CLIA Code: 14D2277498
  • Facility Name: WALGREENS 21330
  • Facility Address: 95 S WAUKEGAN RD
    DEERFIELD, IL
    ZIP 60015
  • Facility Phone: 847 400-0254
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IRENE N. ASAAD
  • NPI Number: 1851038822
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2277498
LAB Type Pharmacy
Facility Name WALGREENS 21330
Street 95 S WAUKEGAN RD
City DEERFIELD
State IL
ZIP 60015
Phone 847 400-0254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Pharmacy
Lab Director IRENE N. ASAAD

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