CLIA lab
CLIA 14D1100869: Walgreens #05664
Edwardsville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1100869 belongs to Walgreens #05664 in Edwardsville, IL.
Certificate of Waiver, effective April 2, 2025, expires April 1, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 2, 2025
- Certificate expiration
- April 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 15, 2009
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D1100869
- Lab name
- Walgreens #05664
- Address
- 102 W Vandalia St, Edwardsville, IL 62025
- Phone
- (618) 692-7251
- Fax
- (618) 692-7348
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Edwardsville, IL
- Addington Place of EdwardsvilleCertificate of Waiver, Assisted living facility14D2158149
- Anderson Rehab InstituteCertificate of Waiver, Other14D2226267
- Anderson Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center14D2181440
- Apg Network LLCCertificate of Waiver, Physician office14D2348477
- BJC Medical Group Outpatient CTR at EdwardsvilleCertificate of Waiver, Physician office14D2236238
- Cvs/Pharmacy #03259Certificate of Waiver, Pharmacy14D2257620
- Evercare at EdwardsvilleCertificate of Waiver, Skilled nursing or nursing facility14D0670457
- Evercare at UniversityCertificate of Waiver, Skilled nursing or nursing facility14D0670051
- Goshen Express CareCertificate of Waiver, Ancillary test site14D2256404
- Goshen ImagingCertificate of Waiver, Other14D2348486
Related
Questions
What is the CLIA number for Walgreens #05664 in Edwardsville?
14D1100869, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #05664 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1100869 expire?
The CMS file lists April 1, 2027 as the certificate expiration date; the certificate took effect April 2, 2025.