WALGREEN CO.
NPI 1477291482
Clinical Medical Laboratory in Chicago, IL

Active since May 20, 2022CLIA 14D2051389 · Waiver
5140 W DIVERSEY AVE, CHICAGO, IL 60639(773) 685-8759(773) 685-1878 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walgreen Co. NPPES

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

WALGREEN CO. (NPI 1477291482), doing business as Walgreens #3948, is a healthcare organization registered as a clinical medical laboratory in Chicago, Illinois and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1477291482
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWALGREEN CO.
Location Address5140 W DIVERSEY AVEChicago, IL 60639-1612
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(773) 685-1878
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateMay 20, 2022
NPPES CertifiedMay 20, 2022
NPI 1477291482 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.

5140 W DIVERSEY AVE, Chicago, IL 60639

Other Names 1

Doing Business AsWalgreens #3948

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 14D2051389

Walgreens #03948 · Chicago, IL
Active · expires Aug 31, 2027
CLIA Number14D2051389
Laboratory TypePharmacy
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorSarfaraz Patel
Laboratory Phone(773) 685-8759
Laboratory LocationWalgreens #039485140 W Diversey Ave, Chicago, IL 60639
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
5140 W DIVERSEY AVE
CHICAGO, IL 60639
Pharmacy
5140 W DIVERSEY AVE
CHICAGO, IL 60639
Pharmacist
5140 W DIVERSEY AVE
CHICAGO, IL 60639
Pharmacist
5140 W DIVERSEY AVE
CHICAGO, IL 60639

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 1477291482. It was assigned to this organization in the NPPES registry on May 20, 2022. The provider is doing business as Walgreens #3948.

Where is Walgreen Co. located?

Walgreen Co. is located at 5140 W Diversey Ave, Chicago, IL 60639. The listed phone number is (773) 685-8759.

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 14D2051389) is associated with this NPI, valid through August 31, 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 May 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.