14D2282794 CLIA NUMBER - CVS/PHARMACY #02901 HIGHLAND PARK CVS, LLC

Laboratory Demographics

  • CLIA Code: 14D2282794
  • Facility Name: CVS/PHARMACY #02901 HIGHLAND PARK CVS, LLC
  • Facility Address: 3001 WASHINGTON ST
    WAUKEGAN, IL
    ZIP 60085
  • Facility Phone: 847 406-2261
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERICA FIEDLER
  • NPI Number: 1568566404
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2282794
LAB Type Pharmacy
Facility Name CVS/PHARMACY #02901 HIGHLAND PARK CVS, LLC
Street 3001 WASHINGTON ST
City WAUKEGAN
State IL
ZIP 60085
Phone 847 406-2261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2023
Certificate Expiration Date 5/24/2025
Facility Type Pharmacy
Lab Director ERICA FIEDLER

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This page was last updated on: 3/20/2025