14D2139381 CLIA NUMBER - WALMART PHARMACY 10-0480

Laboratory Demographics

CLIA Number: 14D2139381

Facility Name: WALMART PHARMACY 10-0480

Facility Address:
151 SHETLAND DR
PITTSFIELD, IL
ZIP 62363
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Facility Phone Number: 217 285-9709

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407939085

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	14D2139381
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-0480
Street	151 SHETLAND DR
City	PITTSFIELD
State	IL
ZIP	62363
Phone	217 285-9709
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