14D2139562 CLIA NUMBER - WALMART PHARMACY 10-3597

Laboratory Demographics

CLIA Number: 14D2139562

Facility Name: WALMART PHARMACY 10-3597

Facility Address:
2101 GATEWAY CENTER DR
BELVIDERE, IL
ZIP 61008
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Facility Phone Number: 815 547-5724

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1174608475

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

CLIA Record

Field Name	Field Value
CLIA Number	14D2139562
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-3597
Street	2101 GATEWAY CENTER DR
City	BELVIDERE
State	IL
ZIP	61008
Phone	815 547-5724
CertificateType	4
CertificateEffectiveDate	11/6/2023
CertificateExpirationDate	11/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024