14D2283740 CLIA NUMBER - CVS/PHARMACY #08530 HIGHLAND PARK CVS LLC

Laboratory Demographics

  • CLIA Code: 14D2283740
  • Facility Name: CVS/PHARMACY #08530 HIGHLAND PARK CVS LLC
  • Facility Address: 6506 ALPINE RD
    LOVES PARK, IL
    ZIP 61111
  • Facility Phone: 815 633-6666
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER DICKMANN
  • NPI Number: 1164464350
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2283740
LAB Type Pharmacy
Facility Name CVS/PHARMACY #08530 HIGHLAND PARK CVS LLC
Street 6506 ALPINE RD
City LOVES PARK
State IL
ZIP 61111
Phone 815 633-6666
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 JENNIFER DICKMANN

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