14D2139844 CLIA NUMBER - WALMART PHARMACY 10-3210

Laboratory Demographics

CLIA Number: 14D2139844

Facility Name: WALMART PHARMACY 10-3210

Facility Address:
2760 NO DIRKSEN PKWY
SPRINGFIELD, IL
ZIP 62702
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Facility Phone Number: 217 522-4054

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407939952

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	14D2139844
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-3210
Street	2760 NO DIRKSEN PKWY
City	SPRINGFIELD
State	IL
ZIP	62702
Phone	217 522-4054
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