14D2139565 CLIA NUMBER - WALMART PHARMACY 10-3400

Laboratory Demographics

  • CLIA Code: 14D2139565
  • Facility Name: WALMART PHARMACY 10-3400
  • Facility Address: 2300 ROUTE 34
    OSWEGO, IL
    ZIP 60543
  • Facility Phone: 630 554-5616
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW M. OCHOCINKSI
  • NPI Number: 1710183645
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2139565
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3400
Street 2300 ROUTE 34
City OSWEGO
State IL
ZIP 60543
Phone 630 554-5616
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 MATTHEW M. OCHOCINKSI

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