14D2127441 CLIA NUMBER - WALMART PHARMACY 4529

Laboratory Demographics

  • CLIA Code: 14D2127441
  • Facility Name: WALMART PHARMACY 4529
  • Facility Address: 501 E LINCOLN HWY
    NEW LENOX, IL
    ZIP 60451
  • Facility Phone: (815) 215-2069
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA KERR-HARRIGAN
  • NPI Number: 1124335187
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2127441
LAB Type Pharmacy
Facility Name WALMART PHARMACY 4529
Street 501 E LINCOLN HWY
City NEW LENOX
State IL
ZIP 60451
Phone 8152152069
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 AMANDA KERR-HARRIGAN

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This page was last updated on: 5/18/2026