14D2127425 CLIA NUMBER - WALMART PHARMACY 10-1998

Laboratory Demographics

  • CLIA Code: 14D2127425
  • Facility Name: WALMART PHARMACY 10-1998
  • Facility Address: 3626 W TOUHY AVE
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: 847 983-1411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENISE VENKETRAMEN
  • NPI Number: 1760896534
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2127425
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1998
Street 3626 W TOUHY AVE
City SKOKIE
State IL
ZIP 60076
Phone 847 983-1411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Pharmacy
Lab Director DENISE VENKETRAMEN

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