14D2282804 CLIA NUMBER - CVS/PHARMACY # 02791 HIGHLAND PARK CVS, LLC

Laboratory Demographics

  • CLIA Code: 14D2282804
  • Facility Name: CVS/PHARMACY # 02791 HIGHLAND PARK CVS, LLC
  • Facility Address: 1005 E ROOSEVELT RD
    LOMBARD, IL
    ZIP 60148
  • Facility Phone: 630 627-8866
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOOREEN ZAHIR
  • NPI Number: 1730283672
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2282804
LAB Type Pharmacy
Facility Name CVS/PHARMACY # 02791 HIGHLAND PARK CVS, LLC
Street 1005 E ROOSEVELT RD
City LOMBARD
State IL
ZIP 60148
Phone 630 627-8866
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 NOOREEN ZAHIR

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