14D2139827 CLIA NUMBER - WALMART PHARMACY 10-1497

Laboratory Demographics

  • CLIA Code: 14D2139827
  • Facility Name: WALMART PHARMACY 10-1497
  • Facility Address: 19 E SCHAUMBURG RD - FLR 2
    SCHAUMBURG, IL
    ZIP 60194
  • Facility Phone: 708 503-0495
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE KELLY
  • NPI Number: 1891149332
  • Taxonomy: 332H00000X - Eyewear Supplier

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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
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 JAMIE KELLY

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