14D2288042 CLIA NUMBER - WALGREENS 05106

Laboratory Demographics

  • CLIA Code: 14D2288042
  • Facility Name: WALGREENS 05106
  • Facility Address: 460 E WASHINGTON ST
    GRAYSLAKE, IL
    ZIP 60030
  • Facility Phone: 847 231-4122
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDA KAWAMOTO
  • NPI Number: 1487669693
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2288042
LAB Type Pharmacy
Facility Name WALGREENS 05106
Street 460 E WASHINGTON ST
City GRAYSLAKE
State IL
ZIP 60030
Phone 847 231-4122
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 LINDA KAWAMOTO

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