14D2139846 CLIA NUMBER - WALMART PHARMACY 10-3255

Laboratory Demographics

  • CLIA Code: 14D2139846
  • Facility Name: WALMART PHARMACY 10-3255
  • Facility Address: 505 S DUNLAP AVE
    SAVOY, IL
    ZIP 61874
  • Facility Phone: 217 356-2867
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. SCHNERDEWIND
  • NPI Number: 1063596609
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2139846
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3255
Street 505 S DUNLAP AVE
City SAVOY
State IL
ZIP 61874
Phone 217 356-2867
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 MICHAEL D. SCHNERDEWIND

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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