14D2126843 CLIA NUMBER - WALMART PHARMACY 10-0833

Laboratory Demographics

  • CLIA Code: 14D2126843
  • Facility Name: WALMART PHARMACY 10-0833
  • Facility Address: 1344 ILLINOIS HWY #1
    CARMI, IL
    ZIP 62821
  • Facility Phone: (618) 382-5838
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JARRETT A. EDWARDS
  • NPI Number: 1710905229
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2126843
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0833
Street 1344 ILLINOIS HWY #1
City CARMI
State IL
ZIP 62821
Phone 6183825838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Pharmacy
Lab Director JARRETT A. EDWARDS

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