14D2139537 CLIA NUMBER - WALMART PHARMACY 10-1003

Laboratory Demographics

  • CLIA Code: 14D2139537
  • Facility Name: WALMART PHARMACY 10-1003
  • Facility Address: 6800 W US HIGHWAY 32
    PLANO, IL
    ZIP 60545
  • Facility Phone: 630 552-3104
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YAMEEN ALI
  • NPI Number: 1891876397
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2139537
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1003
Street 6800 W US HIGHWAY 32
City PLANO
State IL
ZIP 60545
Phone 630 552-3104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Pharmacy
Lab Director YAMEEN ALI

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