14D2139570 CLIA NUMBER - WALMART PHARMACY 10-5060

Laboratory Demographics

  • CLIA Code: 14D2139570
  • Facility Name: WALMART PHARMACY 10-5060
  • Facility Address: 1410 S RANDALL RD
    ALGONQUIN, IL
    ZIP 60102
  • Facility Phone: 847 458-5735
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILL HENDON
  • NPI Number: 1083799381
  • Taxonomy: 332H00000X - Eyewear Supplier

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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
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 JILL HENDON

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