14D2282623 CLIA NUMBER - CVS/PHARMACY #01768 HIGHLAND PARK CVS, LLC

Laboratory Demographics

  • CLIA Code: 14D2282623
  • Facility Name: CVS/PHARMACY #01768 HIGHLAND PARK CVS, LLC
  • Facility Address: 3400 LINCOLN HWY
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Facility Phone: 708 748-6472
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY CHMIELESKI
  • NPI Number: 1972734622
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2282623
LAB Type Pharmacy
Facility Name CVS/PHARMACY #01768 HIGHLAND PARK CVS, LLC
Street 3400 LINCOLN HWY
City OLYMPIA FIELDS
State IL
ZIP 60461
Phone 708 748-6472
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director COURTNEY CHMIELESKI

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