WALGREEN CO.
NPI 1376282871
Clinical Medical Laboratory in Peoria, IL

Active since June 02, 2022CLIA 14D2015250 · Waiver
2324 W WAR MEMORIAL DR, PEORIA, IL 61614(309) 685-5209(309) 688-5099 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walgreen Co. NPPES

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

WALGREEN CO. (NPI 1376282871), doing business as Walgreens #6408, 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 24, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1376282871
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWALGREEN CO.
Location Address2324 W WAR MEMORIAL DRPeoria, IL 61614-5552
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(309) 688-5099
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJune 2, 2022
NPPES CertifiedMay 23, 2022
NPI 1376282871 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.
2324 W WAR MEMORIAL DR, Peoria, IL 61614

Other Names 1

Doing Business AsWalgreens #6408

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 14D2015250

Walgreens # 06408 · Peoria, IL
Active · expires Mar 24, 2027
CLIA Number14D2015250
Laboratory TypePharmacy
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorDanielle Chamarosso
Laboratory Phone(309) 685-5209
Laboratory LocationWalgreens # 064082324 W War Memorial Dr, Peoria, IL 61614
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 11

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

Pharmacist
2324 W WAR MEMORIAL DR
PEORIA, IL 61614
Pharmacist
2324 W WAR MEMORIAL DR
PEORIA, IL 61614
Pharmacist
2324 W WAR MEMORIAL DR
PEORIA, IL 61614
Pharmacist
2324 W WAR MEMORIAL DR
PEORIA, IL 61614
Pharmacist
2324 W WAR MEMORIAL DR
PEORIA, IL 61614
Pharmacist
2324 W WAR MEMORIAL DR
PEORIA, IL 61614
Pharmacy
2324 W WAR MEMORIAL DR
PEORIA, IL 61614
Pharmacist
2324 W WAR MEMORIAL DR
PEORIA, IL 61614

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 1376282871. It was assigned to this organization in the NPPES registry on June 2, 2022. The provider is doing business as Walgreens #6408.

Where is Walgreen Co. located?

Walgreen Co. is located at 2324 W War Memorial Dr, Peoria, IL 61614. The listed phone number is (309) 685-5209.

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 14D2015250) is associated with this NPI, valid through March 24, 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 2, 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.