14D2288146 CLIA NUMBER - WALGREENS 15047

Laboratory Demographics

  • CLIA Code: 14D2288146
  • Facility Name: WALGREENS 15047
  • Facility Address: 353 PARK AVE
    GLENCOE, IL
    ZIP 60022
  • Facility Phone: 847 835-0387
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAN A. BIEL
  • NPI Number: 1225346711
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2288146
LAB Type Pharmacy
Facility Name WALGREENS 15047
Street 353 PARK AVE
City GLENCOE
State IL
ZIP 60022
Phone 847 835-0387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Pharmacy
Lab Director DAN A. BIEL

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