14D2288180 CLIA NUMBER - WALGREENS 07267

Laboratory Demographics

  • CLIA Code: 14D2288180
  • Facility Name: WALGREENS 07267
  • Facility Address: 650 W 63RD ST
    CHICAGO, IL
    ZIP 60621
  • Facility Phone: 773 994-4467
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMI M. PERKINS
  • NPI Number: 1679651053
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2288180
LAB Type Pharmacy
Facility Name WALGREENS 07267
Street 650 W 63RD ST
City CHICAGO
State IL
ZIP 60621
Phone 773 994-4467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director JAMI M. PERKINS

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