14D2282542 CLIA NUMBER - CVS/PHARMACY #08531 HIGHLAND PARK CVS, LLC

Laboratory Demographics

  • CLIA Code: 14D2282542
  • Facility Name: CVS/PHARMACY #08531 HIGHLAND PARK CVS, LLC
  • Facility Address: 110 S ALPINE RD
    ROCKFORD, IL
    ZIP 61108
  • Facility Phone: 815 399-1015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT KAMPER
  • NPI Number: 1114968088
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2282542
LAB Type Pharmacy
Facility Name CVS/PHARMACY #08531 HIGHLAND PARK CVS, LLC
Street 110 S ALPINE RD
City ROCKFORD
State IL
ZIP 61108
Phone 815 399-1015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Pharmacy
Lab Director ROBERT KAMPER

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