14D2291406 CLIA NUMBER - WALGREENS #02720

Laboratory Demographics

  • CLIA Code: 14D2291406
  • Facility Name: WALGREENS #02720
  • Facility Address: 6240 BELMONT RD
    DOWNERS GROVE, IL
    ZIP 60516
  • Facility Phone: 630 960-4160
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANH VONG
  • NPI Number: 1780699926
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2291406
LAB Type Pharmacy
Facility Name WALGREENS #02720
Street 6240 BELMONT RD
City DOWNERS GROVE
State IL
ZIP 60516
Phone 630 960-4160
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 MANH VONG

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