CLIA lab

CLIA 14D2220815: Walgreens #03009

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

CLIA number 14D2220815 belongs to Walgreens #03009 in Ottawa, IL.

Certificate of Waiver, effective April 15, 2025, expires April 14, 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 15, 2025
Certificate expiration
April 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 15, 2021
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
14D2220815
Lab name
Walgreens #03009
Address
545 E Norris Dr, Ottawa, IL 61350
Phone
(815) 433-0485
Fax
(815) 433-3843

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.

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Related

Questions

What is the CLIA number for Walgreens #03009 in Ottawa?

14D2220815, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #03009 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2220815 expire?

The CMS file lists April 14, 2027 as the certificate expiration date; the certificate took effect April 15, 2025.

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