14D2126849 CLIA NUMBER - WALMART PHARMACY #1735

Laboratory Demographics

  • CLIA Code: 14D2126849
  • Facility Name: WALMART PHARMACY #1735
  • Facility Address: 1455 E LAKE COOK RD
    WHEELING, IL
    ZIP 60090
  • Facility Phone: 847 537-5527
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL GOULD
  • NPI Number: 1629159173
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2126849
LAB Type Pharmacy
Facility Name WALMART PHARMACY #1735
Street 1455 E LAKE COOK RD
City WHEELING
State IL
ZIP 60090
Phone 847 537-5527
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 MICHAEL GOULD

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