14D2288379 CLIA NUMBER - WALGREENS 05824

Laboratory Demographics

  • CLIA Code: 14D2288379
  • Facility Name: WALGREENS 05824
  • Facility Address: 410 CHICAGO RD
    OSWEGO, IL
    ZIP 60543
  • Facility Phone: 630 551-4587
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC J. GOEBEL
  • NPI Number: 1992443956
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2288379
LAB Type Pharmacy
Facility Name WALGREENS 05824
Street 410 CHICAGO RD
City OSWEGO
State IL
ZIP 60543
Phone 630 551-4587
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 ERIC J. GOEBEL

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