14D2291077 CLIA NUMBER - WALGREENS 02340

Laboratory Demographics

  • CLIA Code: 14D2291077
  • Facility Name: WALGREENS 02340
  • Facility Address: 342 E ILLINOIS ST
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 312 467-0485
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANG Y. KIM
  • NPI Number: 1376558585
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2291077
LAB Type Pharmacy
Facility Name WALGREENS 02340
Street 342 E ILLINOIS ST
City CHICAGO
State IL
ZIP 60611
Phone 312 467-0485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director SANG Y. KIM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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