14D2139564 CLIA NUMBER - WALMART PHARMACY 3434

Laboratory Demographics

  • CLIA Code: 14D2139564
  • Facility Name: WALMART PHARMACY 3434
  • Facility Address: 1275 LAKE AVE
    WOODSTOCK, IL
    ZIP 60098
  • Facility Phone: 815 206-0938
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN A. YUHN
  • NPI Number: 1962567867
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2139564
LAB Type Pharmacy
Facility Name WALMART PHARMACY 3434
Street 1275 LAKE AVE
City WOODSTOCK
State IL
ZIP 60098
Phone 815 206-0938
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 DUSTIN A. YUHN

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