CLIA lab

CLIA 14D2049168: Walgreens #06629

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

CLIA number 14D2049168 belongs to Walgreens #06629 in Hometown, IL.

Certificate of Waiver, effective September 1, 2025, expires August 31, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 1, 2025
Certificate expiration
August 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 31, 2012
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
14D2049168
Lab name
Walgreens #06629
Address
8701 S Cicero Ave, Hometown, IL 60456
Phone
(708) 423-6430
Fax
(708) 423-8034

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.

Related

Questions

What is the CLIA number for Walgreens #06629 in Hometown?

14D2049168, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #06629 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2049168 expire?

The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.