14D2288342 CLIA NUMBER - WALGREENS 05147

Laboratory Demographics

  • CLIA Code: 14D2288342
  • Facility Name: WALGREENS 05147
  • Facility Address: 9150 SKOKIE BLVD
    SKOKIE, IL
    ZIP 60077
  • Facility Phone: 847 673-8063
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAROLINA K. JEKIELEK
  • NPI Number: 1457634057
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2288342
LAB Type Pharmacy
Facility Name WALGREENS 05147
Street 9150 SKOKIE BLVD
City SKOKIE
State IL
ZIP 60077
Phone 847 673-8063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Pharmacy
Lab Director KAROLINA K. JEKIELEK

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