14D2120971 CLIA NUMBER - WAL-MART PHARMACY #10-1489

Laboratory Demographics

  • CLIA Code: 14D2120971
  • Facility Name: WAL-MART PHARMACY #10-1489
  • Facility Address: 555 E TOWNLINE RD
    VERNON HILLS, IL
    ZIP 60061
  • Facility Phone: (847) 918-0560
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZIJADA COMOR

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CLIA Record

Field Name Field Value
CLIA Number 14D2120971
LAB Type Pharmacy
Facility Name WAL-MART PHARMACY #10-1489
Street 555 E TOWNLINE RD
City VERNON HILLS
State IL
ZIP 60061
Phone 8479180560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Pharmacy
Lab Director ZIJADA COMOR

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This page was last updated on: 5/18/2026