14D2288068 CLIA NUMBER - WALGREENS 00194

Laboratory Demographics

  • CLIA Code: 14D2288068
  • Facility Name: WALGREENS 00194
  • Facility Address: 4801 N LINCOLN AVE
    CHICAGO, IL
    ZIP 60625
  • Facility Phone: 773 561-2526
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTINA A. VINCI
  • NPI Number: 1518972645
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2288068
LAB Type Pharmacy
Facility Name WALGREENS 00194
Street 4801 N LINCOLN AVE
City CHICAGO
State IL
ZIP 60625
Phone 773 561-2526
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 KRISTINA A. VINCI

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