CLIA lab

CLIA 14D2015160: Walgreens #04407

Granite City, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D2015160 belongs to Walgreens #04407 in Granite City, IL.

Certificate of Waiver, effective October 22, 2025, expires October 21, 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
October 22, 2025
Certificate expiration
October 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 22, 2010
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
14D2015160
Lab name
Walgreens #04407
Address
3732 Nameoki Rd, Granite City, IL 62040
Phone
(618) 877-6880
Fax
(618) 877-2012

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 Granite City, IL

Related

Questions

What is the CLIA number for Walgreens #04407 in Granite City?

14D2015160, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #04407 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2015160 expire?

The CMS file lists October 21, 2027 as the certificate expiration date; the certificate took effect October 22, 2025.

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