14D2287963 CLIA NUMBER - WALGREENS 02785

Laboratory Demographics

  • CLIA Code: 14D2287963
  • Facility Name: WALGREENS 02785
  • Facility Address: 5840 W 35TH ST
    CICERO, IL
    ZIP 60804
  • Facility Phone: 708 780-5713
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RENEE J. CAMPAGNA
  • NPI Number: 1851787865
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2287963
LAB Type Pharmacy
Facility Name WALGREENS 02785
Street 5840 W 35TH ST
City CICERO
State IL
ZIP 60804
Phone 708 780-5713
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 RENEE J. CAMPAGNA

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