14D2140400 CLIA NUMBER - WALMART PHARMACY 10-0612

Laboratory Demographics

CLIA Number: 14D2140400

Facility Name: WALMART PHARMACY 10-0612

Facility Address:
2250 LINCOLN AVE
CHARLESTON, IL
ZIP 61920
Get Directions

Facility Phone Number: 217 345-9458

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1477636090

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	14D2140400
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-0612
Street	2250 LINCOLN AVE
City	CHARLESTON
State	IL
ZIP	61920
Phone	217 345-9458
CertificateType	4
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	11/20/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024