14D2139806 CLIA NUMBER - WALMART PHARMACY 10-0435

Laboratory Demographics

  • CLIA Code: 14D2139806
  • Facility Name: WALMART PHARMACY 10-0435
  • Facility Address: 12495 IL HWY 143
    HIGHLAND, IL
    ZIP 62249
  • Facility Phone: 618 654-2397
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE D. SCHEIFER
  • NPI Number: 1124109962
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2139806
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0435
Street 12495 IL HWY 143
City HIGHLAND
State IL
ZIP 62249
Phone 618 654-2397
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Pharmacy
Lab Director MICHELLE D. SCHEIFER

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