14D2287981 CLIA NUMBER - WALGREENS 02584

Laboratory Demographics

  • CLIA Code: 14D2287981
  • Facility Name: WALGREENS 02584
  • Facility Address: 85 W GALENA AVE
    FREEPORT, IL
    ZIP 61032
  • Facility Phone: 815 232-8320
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE GERBER
  • NPI Number: 1871508010
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2287981
LAB Type Pharmacy
Facility Name WALGREENS 02584
Street 85 W GALENA AVE
City FREEPORT
State IL
ZIP 61032
Phone 815 232-8320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Pharmacy
Lab Director NICOLE GERBER

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