14D2288195 CLIA NUMBER - WALGREENS 03749

Laboratory Demographics

  • CLIA Code: 14D2288195
  • Facility Name: WALGREENS 03749
  • Facility Address: 2200 N LEWIS AVE
    WAUKEGAN, IL
    ZIP 60087
  • Facility Phone: 847 623-6375
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROUNZA GORGES
  • NPI Number: 1366457400
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2288195
LAB Type Pharmacy
Facility Name WALGREENS 03749
Street 2200 N LEWIS AVE
City WAUKEGAN
State IL
ZIP 60087
Phone 847 623-6375
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 ROUNZA GORGES

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