14D2139399 CLIA NUMBER - WALMART PHARMACY 10-1404

Laboratory Demographics

CLIA Number: 14D2139399

Facility Name: WALMART PHARMACY 10-1404

Facility Address:
820 S RAND RD
LAKE ZURICH, IL
ZIP 60047
Get Directions

Facility Phone Number: 847 438-4949

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1669771663

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	14D2139399
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-1404
Street	820 S RAND RD
City	LAKE ZURICH
State	IL
ZIP	60047
Phone	847 438-4949
CertificateType	4
CertificateEffectiveDate	11/2/2023
CertificateExpirationDate	11/1/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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