14D2139403 CLIA NUMBER - WALMART PHARMACY 10-0603

Laboratory Demographics

  • CLIA Code: 14D2139403
  • Facility Name: WALMART PHARMACY 10-0603
  • Facility Address: 3320 VETERANS DRIVE
    PEKIN, IL
    ZIP 61554
  • Facility Phone: 309 353-2995
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE MAGARITY
  • NPI Number: 1902987498
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2139403
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0603
Street 3320 VETERANS DRIVE
City PEKIN
State IL
ZIP 61554
Phone 309 353-2995
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 MICHELLE MAGARITY

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