14D2291651 CLIA NUMBER - WALGREENS 00178

Laboratory Demographics

  • CLIA Code: 14D2291651
  • Facility Name: WALGREENS 00178
  • Facility Address: 740 W DIVERSEY PKWY
    CHICAGO, IL
    ZIP 60614
  • Facility Phone: 773 929-1097
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYME M. STRNATKA
  • NPI Number: 1770599151
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2291651
LAB Type Pharmacy
Facility Name WALGREENS 00178
Street 740 W DIVERSEY PKWY
City CHICAGO
State IL
ZIP 60614
Phone 773 929-1097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Pharmacy
Lab Director JAYME M. STRNATKA

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