14D2285823 CLIA NUMBER - CVS/PHARMACY #05819 HIGHLAND PARK CVS, LLC

Laboratory Demographics

  • CLIA Code: 14D2285823
  • Facility Name: CVS/PHARMACY #05819 HIGHLAND PARK CVS, LLC
  • Facility Address: 11859 SOUTHWEST HWY
    PALOS HEIGHTS, IL
    ZIP 60463
  • Facility Phone: 708 671-1360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASEY BADWAN
  • NPI Number: 1295041481
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2285823
LAB Type Pharmacy
Facility Name CVS/PHARMACY #05819 HIGHLAND PARK CVS, LLC
Street 11859 SOUTHWEST HWY
City PALOS HEIGHTS
State IL
ZIP 60463
Phone 708 671-1360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2023
Certificate Expiration Date 7/17/2025
Facility Type Pharmacy
Lab Director CASEY BADWAN

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This page was last updated on: 6/4/2025