14D2127443 CLIA NUMBER - WALMART PHARMACY 10-2815

Laboratory Demographics

  • CLIA Code: 14D2127443
  • Facility Name: WALMART PHARMACY 10-2815
  • Facility Address: 1460 GOLF RD
    ROLLING MEADOWS, IL
    ZIP 60008
  • Facility Phone: 847 734-0438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOBIN JOSEPH
  • NPI Number: 1376624478
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2127443
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2815
Street 1460 GOLF RD
City ROLLING MEADOWS
State IL
ZIP 60008
Phone 847 734-0438
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 JOBIN JOSEPH

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