14D2139375 CLIA NUMBER - WALMART PHARMACY 10-0196

Laboratory Demographics

CLIA Number: 14D2139375

Facility Name: WALMART PHARMACY 10-0196

Facility Address:
1450 E MAIN ST
CARBONDALE, IL
ZIP 62901
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Facility Phone Number: 618 549-0709

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1255414892

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	14D2139375
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-0196
Street	1450 E MAIN ST
City	CARBONDALE
State	IL
ZIP	62901
Phone	618 549-0709
CertificateType	4
CertificateEffectiveDate	11/2/2023
CertificateExpirationDate	11/1/2025
FacilityType	Waiver

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