WALGREEN CO.
NPI 1609514223
Clinical Medical Laboratory in Evergreen Park, IL

Active since May 24, 2022CLIA 14D2049160 · Waiver
8700 S KEDZIE AVE, EVERGREEN PARK, IL 60805(708) 499-8051(708) 499-8076 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walgreen Co. NPPES

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

WALGREEN CO. (NPI 1609514223), doing business as Walgreens #9141, is a healthcare organization registered as a clinical medical laboratory in Evergreen Park, Illinois and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1609514223
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWALGREEN CO.
Location Address8700 S KEDZIE AVEEvergreen Park, IL 60805-1024
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(708) 499-8076
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateMay 24, 2022
NPPES CertifiedMay 24, 2022
NPI 1609514223 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.

8700 S KEDZIE AVE, Evergreen Park, IL 60805

Other Names 1

Doing Business AsWalgreens #9141

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 14D2049160

Walgreens #09141 · Evergreen Park, IL
Active · expires Dec 22, 2026
CLIA Number14D2049160
Laboratory TypeCovid 19 Test Site
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorZahia Lena R. Hussien
Laboratory Phone(708) 499-8051
Laboratory LocationWalgreens #091418700 S Kedzie Ave, Evergreen Park, IL 60805
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20378519
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Other Providers at the Same Location NPPES 6

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

Pharmacist
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Pharmacist
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Pharmacist
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Pharmacy
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Pharmacist
8700 S KEDZIE AVE
EVERGREEN PARK, IL 60805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609514223, enumerated as an "organization" on May 24, 2022.

The provider is located at 8700 S KEDZIE AVE EVERGREEN PARK, IL 60805 and the phone number is (708) 499-8051.

Clinical Medical Laboratory with taxonomy code 291U00000X.