14D2127427 CLIA NUMBER - WALMART PHARMACY 10-1892

Laboratory Demographics

  • CLIA Code: 14D2127427
  • Facility Name: WALMART PHARMACY 10-1892
  • Facility Address: 9450 W JOLIET RD
    HODGKINS, IL
    ZIP 60525
  • Facility Phone: 708 387-2099
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CYDNEE HARRIS
  • NPI Number: 1386725380
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2127427
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1892
Street 9450 W JOLIET RD
City HODGKINS
State IL
ZIP 60525
Phone 708 387-2099
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 CYDNEE HARRIS

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