14D2139581 CLIA NUMBER - WALMART PHARMACY 10-5485

Laboratory Demographics

CLIA Number: 14D2139581

Facility Name: WALMART PHARMACY 10-5485

Facility Address:
2500 W 95TH STREET
EVERGREEN PARK, IL
ZIP 60805
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Facility Phone Number: 708 229-0892

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1841375151

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	14D2139581
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-5485
Street	2500 W 95TH STREET
City	EVERGREEN PARK
State	IL
ZIP	60805
Phone	708 229-0892
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