14D2288071 CLIA NUMBER - WALGREENS 04780

Laboratory Demographics

  • CLIA Code: 14D2288071
  • Facility Name: WALGREENS 04780
  • Facility Address: 225 E ROOSEVELT RD
    LOMBARD, IL
    ZIP 60148
  • Facility Phone: 630 627-9784
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROZINA AKBER
  • NPI Number: 1699056648
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2288071
LAB Type Pharmacy
Facility Name WALGREENS 04780
Street 225 E ROOSEVELT RD
City LOMBARD
State IL
ZIP 60148
Phone 630 627-9784
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 ROZINA AKBER

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