14D2131886 CLIA NUMBER - WALMART PHARMACY 10-1938

Laboratory Demographics

  • CLIA Code: 14D2131886
  • Facility Name: WALMART PHARMACY 10-1938
  • Facility Address: 7050 S CICERO AVE
    BEDFORD PARK, IL
    ZIP 60638
  • Facility Phone: 708 496-0420
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY VIKREY
  • NPI Number: 1417039330
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2131886
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1938
Street 7050 S CICERO AVE
City BEDFORD PARK
State IL
ZIP 60638
Phone 708 496-0420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Pharmacy
Lab Director AMY VIKREY

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