14D2129553 CLIA NUMBER - WALMART PHARMACY 10-4511

Laboratory Demographics

  • CLIA Code: 14D2129553
  • Facility Name: WALMART PHARMACY 10-4511
  • Facility Address: 1601 18TH ST
    SILVIS, IL
    ZIP 61282
  • Facility Phone: 309 796-3673
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BELLAL ALZALAM
  • NPI Number: 1710362918
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2129553
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4511
Street 1601 18TH ST
City SILVIS
State IL
ZIP 61282
Phone 309 796-3673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director BELLAL ALZALAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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