14D2283943 CLIA NUMBER - CVS/PHARMACY #06448 HIGHLAND PARK CVS LLC

Laboratory Demographics

  • CLIA Code: 14D2283943
  • Facility Name: CVS/PHARMACY #06448 HIGHLAND PARK CVS LLC
  • Facility Address: 1101 PEORIA ST
    WASHINGTON, IL
    ZIP 61571
  • Facility Phone: 309 444-2301
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALYSSA CALIOLIO
  • NPI Number: 1366545139
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2283943
LAB Type Pharmacy
Facility Name CVS/PHARMACY #06448 HIGHLAND PARK CVS LLC
Street 1101 PEORIA ST
City WASHINGTON
State IL
ZIP 61571
Phone 309 444-2301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Pharmacy
Lab Director ALYSSA CALIOLIO

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