14D2288023 CLIA NUMBER - WALGREENS 01515

Laboratory Demographics

  • CLIA Code: 14D2288023
  • Facility Name: WALGREENS 01515
  • Facility Address: 5900 N 2ND ST
    LOVES PARK, IL
    ZIP 61111
  • Facility Phone: 815 282-2077
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN K. NASER
  • NPI Number: 1437164654
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2288023
LAB Type Pharmacy
Facility Name WALGREENS 01515
Street 5900 N 2ND ST
City LOVES PARK
State IL
ZIP 61111
Phone 815 282-2077
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 MEGAN K. NASER

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