14D2133025 CLIA NUMBER - WALMART PHARMACY 10-1897

Laboratory Demographics

  • CLIA Code: 14D2133025
  • Facility Name: WALMART PHARMACY 10-1897
  • Facility Address: 801 MEACHAM RD
    ELK GROVE VILLAGE, IL
    ZIP 60007
  • Facility Phone: 847 584-7082
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: URVISH Y. MANIAR BSPH
  • NPI Number: 1649351644
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2133025
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1897
Street 801 MEACHAM RD
City ELK GROVE VILLAGE
State IL
ZIP 60007
Phone 847 584-7082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Pharmacy
Lab Director URVISH Y. MANIAR BSPH

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