14D2288065 CLIA NUMBER - WALGREENS 05121

Laboratory Demographics

  • CLIA Code: 14D2288065
  • Facility Name: WALGREENS 05121
  • Facility Address: 5935 W ADDISON ST
    CHICAGO, IL
    ZIP 60634
  • Facility Phone: 773 282-1594
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE WYSOCKI
  • NPI Number: 1598770620
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2288065
LAB Type Pharmacy
Facility Name WALGREENS 05121
Street 5935 W ADDISON ST
City CHICAGO
State IL
ZIP 60634
Phone 773 282-1594
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 MICHELLE WYSOCKI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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