14D2291345 CLIA NUMBER - WALGREENS 02877

Laboratory Demographics

  • CLIA Code: 14D2291345
  • Facility Name: WALGREENS 02877
  • Facility Address: 2440 W NORTH AVE
    CHICAGO, IL
    ZIP 60647
  • Facility Phone: 773 489-5607
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIR HUSSAINI
  • NPI Number: 1164438636
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2291345
LAB Type Pharmacy
Facility Name WALGREENS 02877
Street 2440 W NORTH AVE
City CHICAGO
State IL
ZIP 60647
Phone 773 489-5607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Pharmacy
Lab Director MIR HUSSAINI

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