14D2133027 CLIA NUMBER - WALMART PHARMACY 10-1531

Laboratory Demographics

  • CLIA Code: 14D2133027
  • Facility Name: WALMART PHARMACY 10-1531
  • Facility Address: 365 LAKE MARIAN RD
    CARPENTERSVILLE, IL
    ZIP 60110
  • Facility Phone: (847) 426-4272
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NILMA A. ORTIZ COLON
  • NPI Number: 1831116102
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2133027
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1531
Street 365 LAKE MARIAN RD
City CARPENTERSVILLE
State IL
ZIP 60110
Phone 8474264272
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 NILMA A. ORTIZ COLON

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This page was last updated on: 5/18/2026