14D2131887 CLIA NUMBER - WALMART PHARMACY 10-1596

Laboratory Demographics

CLIA Number: 14D2131887

Facility Name: WALMART PHARMACY 10-1596

Facility Address:
200 S BOLINGBROOK DRIVE
BOLINGBROOK, IL
ZIP 60440
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Facility Phone Number: 630 739-4883

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1669554572

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

CLIA Record

Field Name	Field Value
CLIA Number	14D2131887
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-1596
Street	200 S BOLINGBROOK DRIVE
City	BOLINGBROOK
State	IL
ZIP	60440
Phone	630 739-4883
CertificateType	4
CertificateEffectiveDate	6/7/2023
CertificateExpirationDate	6/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024