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14D2139827 CLIA NUMBER - WALMART PHARMACY 10-1497

Laboratory Demographics

CLIA Number: 14D2139827

Facility Name: WALMART PHARMACY 10-1497

Facility Address:
19 E SCHAUMBURG RD - FLR 2
SCHAUMBURG, IL
ZIP 60194
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Facility Phone Number: 708 503-0495

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1891149332

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name Field Value
CLIA Number 14D2139827
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1497
Street 19 E SCHAUMBURG RD - FLR 2
City SCHAUMBURG
State IL
ZIP 60194
Phone 708 503-0495
CertificateType 4
CertificateEffectiveDate 11/9/2023
CertificateExpirationDate 11/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024