14D2291409 CLIA NUMBER - WALGREENS 21150

Laboratory Demographics

  • CLIA Code: 14D2291409
  • Facility Name: WALGREENS 21150
  • Facility Address: 925 GREEN BAY RD
    WINNETKA, IL
    ZIP 60093
  • Facility Phone: 847 835-8417
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLAIRE M. PARK
  • NPI Number: 1972518199
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2291409
LAB Type Pharmacy
Facility Name WALGREENS 21150
Street 925 GREEN BAY RD
City WINNETKA
State IL
ZIP 60093
Phone 847 835-8417
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 CLAIRE M. PARK

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