14D2284928 CLIA NUMBER - CVS/PHARMACY #07970 HIGHLAND PARK CVS LLC

Laboratory Demographics

  • CLIA Code: 14D2284928
  • Facility Name: CVS/PHARMACY #07970 HIGHLAND PARK CVS LLC
  • Facility Address: 4511 ALGONQUIN RD
    LAKE IN THE HILLS, IL
    ZIP 60156
  • Facility Phone: 847 669-3852
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NILMA ORTIZ-COLON
  • NPI Number: 1558505263
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2284928
LAB Type Pharmacy
Facility Name CVS/PHARMACY #07970 HIGHLAND PARK CVS LLC
Street 4511 ALGONQUIN RD
City LAKE IN THE HILLS
State IL
ZIP 60156
Phone 847 669-3852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Pharmacy
Lab Director NILMA ORTIZ-COLON

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