14D2291243 CLIA NUMBER - WALGREENS 02684

Laboratory Demographics

  • CLIA Code: 14D2291243
  • Facility Name: WALGREENS 02684
  • Facility Address: 4850 OAKTON ST
    SKOKIE, IL
    ZIP 60077
  • Facility Phone: 847 933-0418
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANHAREEB MINYANISH
  • NPI Number: 1609881853
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2291243
LAB Type Pharmacy
Facility Name WALGREENS 02684
Street 4850 OAKTON ST
City SKOKIE
State IL
ZIP 60077
Phone 847 933-0418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Pharmacy
Lab Director SANHAREEB MINYANISH

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