14D2139570 CLIA NUMBER - WALMART PHARMACY 10-5060

Laboratory Demographics

CLIA Number: 14D2139570

Facility Name: WALMART PHARMACY 10-5060

Facility Address:
1410 S RANDALL RD
ALGONQUIN, IL
ZIP 60102
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Facility Phone Number: 847 458-5735

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1083799381

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	14D2139570
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-5060
Street	1410 S RANDALL RD
City	ALGONQUIN
State	IL
ZIP	60102
Phone	847 458-5735
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