14D2140367 CLIA NUMBER - WALMART PHARMACY 10-2491

Laboratory Demographics

  • CLIA Code: 14D2140367
  • Facility Name: WALMART PHARMACY 10-2491
  • Facility Address: 4101 N VERMILION ST STE A
    DANVILLE, IL
    ZIP 61834
  • Facility Phone: 217 443-9587
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARI L. MCBRIDE
  • NPI Number: 1528149028
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2140367
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2491
Street 4101 N VERMILION ST STE A
City DANVILLE
State IL
ZIP 61834
Phone 217 443-9587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Pharmacy
Lab Director KARI L. MCBRIDE

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