14D2139399 CLIA NUMBER - WALMART PHARMACY 10-1404

Laboratory Demographics

  • CLIA Code: 14D2139399
  • Facility Name: WALMART PHARMACY 10-1404
  • Facility Address: 820 S RAND RD
    LAKE ZURICH, IL
    ZIP 60047
  • Facility Phone: 847 438-4949
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HETAL PATEL
  • NPI Number: 1669771663
  • Taxonomy: 332H00000X - Eyewear Supplier

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Pharmacy
Lab Director HETAL PATEL

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This page was last updated on: 9/29/2025