14D2284475 CLIA NUMBER - WALGREENS HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 14D2284475
  • Facility Name: WALGREENS HEALTH SERVICES, LLC
  • Facility Address: 3401 W ROOSEVELT RD - STE 101
    CHICAGO, IL
    ZIP 60624
  • Facility Phone: (773) 542-1232
  • Facility Type: Other - HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: SASHIDARAN M. MOODLEY
  • NPI Number: 1063427227
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2284475
LAB Type Other - HEALTH CLINIC
Facility Name WALGREENS HEALTH SERVICES, LLC
Street 3401 W ROOSEVELT RD - STE 101
City CHICAGO
State IL
ZIP 60624
Phone 7735421232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Other - HEALTH CLINIC
Lab Director SASHIDARAN M. MOODLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026