14D2292426 CLIA NUMBER - WALGREENS 09038

Laboratory Demographics

  • CLIA Code: 14D2292426
  • Facility Name: WALGREENS 09038
  • Facility Address: 4001 W IRVING PARK RD
    CHICAGO, IL
    ZIP 60641
  • Facility Phone: 773 685-5527
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY N. ZIEGLER
  • NPI Number: 1699416271
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2292426
LAB Type Pharmacy
Facility Name WALGREENS 09038
Street 4001 W IRVING PARK RD
City CHICAGO
State IL
ZIP 60641
Phone 773 685-5527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director TIFFANY N. ZIEGLER

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