14D2291248 CLIA NUMBER - WALGREENS 02025

Laboratory Demographics

  • CLIA Code: 14D2291248
  • Facility Name: WALGREENS 02025
  • Facility Address: 3000 S HALSTED ST
    CHICAGO, IL
    ZIP 60608
  • Facility Phone: 312 225-0537
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLYN M. LIGUE
  • NPI Number: 1891701330
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2291248
LAB Type Pharmacy
Facility Name WALGREENS 02025
Street 3000 S HALSTED ST
City CHICAGO
State IL
ZIP 60608
Phone 312 225-0537
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 CAROLYN M. LIGUE

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