14D2127430 CLIA NUMBER - WALMART PHARMACY10-1779

Laboratory Demographics

  • CLIA Code: 14D2127430
  • Facility Name: WALMART PHARMACY10-1779
  • Facility Address: 10260 S HARLEM AVE
    BRIDGEVIEW, IL
    ZIP 60455
  • Facility Phone: 708 499-2388
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAIF NASER
  • NPI Number: 1619058161
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2127430
LAB Type Pharmacy
Facility Name WALMART PHARMACY10-1779
Street 10260 S HARLEM AVE
City BRIDGEVIEW
State IL
ZIP 60455
Phone 708 499-2388
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 SAIF NASER

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