14D2282889 CLIA NUMBER - CVS/PHARMACY #07797 HIGHLAND PARK CVS LLC

Laboratory Demographics

  • CLIA Code: 14D2282889
  • Facility Name: CVS/PHARMACY #07797 HIGHLAND PARK CVS LLC
  • Facility Address: 6820 N PEAR TREE LANE
    PEORIA, IL
    ZIP 61615
  • Facility Phone: 309 689-1873
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANIQUA RAYFORD
  • NPI Number: 1265539753
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2282889
LAB Type Pharmacy
Facility Name CVS/PHARMACY #07797 HIGHLAND PARK CVS LLC
Street 6820 N PEAR TREE LANE
City PEORIA
State IL
ZIP 61615
Phone 309 689-1873
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 SHANIQUA RAYFORD

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