14D2282801 CLIA NUMBER - CVS/PHARMACY #00070

Laboratory Demographics

  • CLIA Code: 14D2282801
  • Facility Name: CVS/PHARMACY #00070
  • Facility Address: 3200 FLOSSMOOR
    FLOSSMOOR, IL
    ZIP 60422
  • Facility Phone: 708 798-4625
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA PINKNEY
  • NPI Number: 1346555331
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2282801
LAB Type Pharmacy
Facility Name CVS/PHARMACY #00070
Street 3200 FLOSSMOOR
City FLOSSMOOR
State IL
ZIP 60422
Phone 708 798-4625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director AMANDA PINKNEY

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