14D2282848 CLIA NUMBER - CVS/PHARMACY #06849 HIGHLAND PARK CVS, LLC

Laboratory Demographics

  • CLIA Code: 14D2282848
  • Facility Name: CVS/PHARMACY #06849 HIGHLAND PARK CVS, LLC
  • Facility Address: 211 E CARPENTER
    SPRINGFIELD, IL
    ZIP 62702
  • Facility Phone: 217 528-7529
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS WILLEFORD
  • NPI Number: 1598868051
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2282848
LAB Type Pharmacy
Facility Name CVS/PHARMACY #06849 HIGHLAND PARK CVS, LLC
Street 211 E CARPENTER
City SPRINGFIELD
State IL
ZIP 62702
Phone 217 528-7529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director TRAVIS WILLEFORD

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