WALGREEN CO.
NPI 1285373449
Clinical Medical Laboratory in Peoria, IL

Active since June 03, 2022CLIA 14D2046545 · Waiver
10613 N KNOXVILLE AVE, PEORIA, IL 61615(309) 243-1176(309) 243-1187 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walgreen Co. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREEN CO. (NPI 1285373449), doing business as Walgreens #12367, is a healthcare organization registered as a clinical medical laboratory in Peoria, Illinois and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1285373449
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWALGREEN CO.
Location Address10613 N KNOXVILLE AVEPeoria, IL 61615-1110
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(309) 243-1187
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJune 3, 2022
NPPES CertifiedMay 25, 2022
NPI 1285373449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
10613 N KNOXVILLE AVE, Peoria, IL 61615

Other Names 1

Doing Business AsWalgreens #12367

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2046545

Walgreens #12367 · Peoria, IL
Active · expires Mar 23, 2027
CLIA Number14D2046545
Laboratory TypePharmacy
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorRobert R. Terry
Laboratory Phone(309) 243-1176
Laboratory LocationWalgreens #1236710613 N Knoxville Ave, Peoria, IL 61615
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
10613 N KNOXVILLE AVE
PEORIA, IL 61615
Pharmacist
10613 N KNOXVILLE AVE
PEORIA, IL 61615
Pharmacist
10613 N KNOXVILLE AVE
PEORIA, IL 61615
Pharmacy
10613 N KNOXVILLE AVE
PEORIA, IL 61615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co.'s NPI number?

The NPI number for Walgreen Co. is 1285373449. It was assigned to this organization in the NPPES registry on June 3, 2022. The provider is doing business as Walgreens #12367.

Where is Walgreen Co. located?

Walgreen Co. is located at 10613 N Knoxville Ave, Peoria, IL 61615. The listed phone number is (309) 243-1176.

What is Walgreen Co.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Walgreen Co. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2046545) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreen Co. was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.