14D2140389 CLIA NUMBER - WALMART PHARMACY 10-5352

Laboratory Demographics

  • CLIA Code: 14D2140389
  • Facility Name: WALMART PHARMACY 10-5352
  • Facility Address: 801 N RANDALL RD
    BATAVIA, IL
    ZIP 60510
  • Facility Phone: 630 879-6812
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDUARDO MAGALLANES
  • NPI Number: 1114002425
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2140389
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5352
Street 801 N RANDALL RD
City BATAVIA
State IL
ZIP 60510
Phone 630 879-6812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Pharmacy
Lab Director EDUARDO MAGALLANES

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