14D2295184 CLIA NUMBER - WALGREENS 15350

Laboratory Demographics

  • CLIA Code: 14D2295184
  • Facility Name: WALGREENS 15350
  • Facility Address: 834 W ARMITAGE AVE
    CHICAGO, IL
    ZIP 60614
  • Facility Phone: 773 687-0709
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEWAYNE L. PUTER
  • NPI Number: 1477946630
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2295184
LAB Type Pharmacy
Facility Name WALGREENS 15350
Street 834 W ARMITAGE AVE
City CHICAGO
State IL
ZIP 60614
Phone 773 687-0709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Pharmacy
Lab Director DEWAYNE L. PUTER

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