14D2302073 CLIA NUMBER - FIVE STAR PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2302073
  • Facility Name: FIVE STAR PHARMACY
  • Facility Address: 4950 N CUMBERLAND AVE - STE 1
    NORRIDGE, IL
    ZIP 60706
  • Facility Phone: 708 716-3085
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA L. AL-HADIDI
  • NPI Number: 1558072751
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2302073
LAB Type Physician Office
Facility Name FIVE STAR PHARMACY
Street 4950 N CUMBERLAND AVE - STE 1
City NORRIDGE
State IL
ZIP 60706
Phone 708 716-3085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Physician Office
Lab Director MARIA L. AL-HADIDI

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