14D2283732 CLIA NUMBER - CVS/PHARMACY #08540 HIGHLAND PARK CVS, LLC

Laboratory Demographics

  • CLIA Code: 14D2283732
  • Facility Name: CVS/PHARMACY #08540 HIGHLAND PARK CVS, LLC
  • Facility Address: 1535 W GALENA
    FREEPORT, IL
    ZIP 61032
  • Facility Phone: 815 232-0053
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSIDY JOY-SAINI
  • NPI Number: 1457392326
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2283732
LAB Type Pharmacy
Facility Name CVS/PHARMACY #08540 HIGHLAND PARK CVS, LLC
Street 1535 W GALENA
City FREEPORT
State IL
ZIP 61032
Phone 815 232-0053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Pharmacy
Lab Director CASSIDY JOY-SAINI

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