14D2139558 CLIA NUMBER - WALMART PHARMACY 10-1848

Laboratory Demographics

  • CLIA Code: 14D2139558
  • Facility Name: WALMART PHARMACY 10-1848
  • Facility Address: 3S100 ROUTE 53
    GLEN ELLYN, IL
    ZIP 60137
  • Facility Phone: 630 545-1080
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARTI RAI
  • NPI Number: 1295816296
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2139558
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1848
Street 3S100 ROUTE 53
City GLEN ELLYN
State IL
ZIP 60137
Phone 630 545-1080
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 ARTI RAI

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