14D2287961 CLIA NUMBER - WALGREENS 02212

Laboratory Demographics

  • CLIA Code: 14D2287961
  • Facility Name: WALGREENS 02212
  • Facility Address: 1858 E OAKTON ST - STE 1
    DES PLAINES, IL
    ZIP 60018
  • Facility Phone: 847 299-6611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAULIK J. DAVE
  • NPI Number: 1033124334
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2287961
LAB Type Pharmacy
Facility Name WALGREENS 02212
Street 1858 E OAKTON ST - STE 1
City DES PLAINES
State IL
ZIP 60018
Phone 847 299-6611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director MAULIK J. DAVE

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