14D2290568 CLIA NUMBER - WALGREENS 02447

Laboratory Demographics

  • CLIA Code: 14D2290568
  • Facility Name: WALGREENS 02447
  • Facility Address: 2040 ARMY TRAIL RD
    HANOVER PARK, IL
    ZIP 60133
  • Facility Phone: 630 830-6558
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: QUOC A. HUYNH
  • NPI Number: 1336154582
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2290568
LAB Type Pharmacy
Facility Name WALGREENS 02447
Street 2040 ARMY TRAIL RD
City HANOVER PARK
State IL
ZIP 60133
Phone 630 830-6558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Pharmacy
Lab Director QUOC A. HUYNH

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