14D2139550 CLIA NUMBER - WALMART PHARMACY 10-1898

Laboratory Demographics

  • CLIA Code: 14D2139550
  • Facility Name: WALMART PHARMACY 10-1898
  • Facility Address: 150 SMITH RD
    SAINT CHARLES, IL
    ZIP 60174
  • Facility Phone: 630 513-9560
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NISHANT BIPIN THAKKAR
  • NPI Number: 1508948423
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2139550
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1898
Street 150 SMITH RD
City SAINT CHARLES
State IL
ZIP 60174
Phone 630 513-9560
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 NISHANT BIPIN THAKKAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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