CLIA lab
CLIA 14D2234631: Walgreens #04612
Glendale Hts, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2234631 belongs to Walgreens #04612 in Glendale Hts, 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
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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
- September 1, 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
- 14D2234631
- Lab name
- Walgreens #04612
- Address
- 2040 Glen Ellyn Rd, Glendale Hts, IL 60139
- Phone
- (630) 539-6597
- Fax
- (630) 539-6765
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 #04612 in Glendale Hts?
14D2234631, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #04612 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2234631 expire?
The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.