14D2288230 CLIA NUMBER - WALGREENS 02619

Laboratory Demographics

  • CLIA Code: 14D2288230
  • Facility Name: WALGREENS 02619
  • Facility Address: 2100 GREEN BAY RD
    EVANSTON, IL
    ZIP 60201
  • Facility Phone: 847 475-0996
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FALGUNI H. RANA
  • NPI Number: 1992710032
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2288230
LAB Type Pharmacy
Facility Name WALGREENS 02619
Street 2100 GREEN BAY RD
City EVANSTON
State IL
ZIP 60201
Phone 847 475-0996
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 FALGUNI H. RANA

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