14D2288014 CLIA NUMBER - WALGREENS 04828

Laboratory Demographics

  • CLIA Code: 14D2288014
  • Facility Name: WALGREENS 04828
  • Facility Address: 4822 CATON FARM RD
    PLAINFIELD, IL
    ZIP 60586
  • Facility Phone: 815 439-5882
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY E. WINKELS
  • NPI Number: 1073528253
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2288014
LAB Type Pharmacy
Facility Name WALGREENS 04828
Street 4822 CATON FARM RD
City PLAINFIELD
State IL
ZIP 60586
Phone 815 439-5882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Pharmacy
Lab Director KELLY E. WINKELS

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