14D2288375 CLIA NUMBER - WALGREENS 02432

Laboratory Demographics

  • CLIA Code: 14D2288375
  • Facility Name: WALGREENS 02432
  • Facility Address: 200 W ADAMS ST
    CHICAGO, IL
    ZIP 60606
  • Facility Phone: 312 372-0331
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAMELA M. FOSTER
  • NPI Number: 1457366775
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2288375
LAB Type Pharmacy
Facility Name WALGREENS 02432
Street 200 W ADAMS ST
City CHICAGO
State IL
ZIP 60606
Phone 312 372-0331
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 PAMELA M. FOSTER

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