14D2126846 CLIA NUMBER - WALMART PHARMACY 10-1256

Laboratory Demographics

  • CLIA Code: 14D2126846
  • Facility Name: WALMART PHARMACY 10-1256
  • Facility Address: 2424 W JEFFERSON ST
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 815 744-7601
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JON PARENT
  • NPI Number: 1801070636
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 14D2126846
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1256
Street 2424 W JEFFERSON ST
City JOLIET
State IL
ZIP 60435
Phone 815 744-7601
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 JON PARENT

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This page was last updated on: 9/29/2025