14D2288055 CLIA NUMBER - WALGREENS 04561

Laboratory Demographics

  • CLIA Code: 14D2288055
  • Facility Name: WALGREENS 04561
  • Facility Address: 1918 W FABYAN PKWY
    BATAVIA, IL
    ZIP 60510
  • Facility Phone: 630 482-2485
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH P. PIGNATARO
  • NPI Number: 1104833185
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2288055
LAB Type Pharmacy
Facility Name WALGREENS 04561
Street 1918 W FABYAN PKWY
City BATAVIA
State IL
ZIP 60510
Phone 630 482-2485
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 JOSEPH P. PIGNATARO

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