18D2117022 CLIA NUMBER - WALMART PHARMACY (6931)

Laboratory Demographics

  • CLIA Code: 18D2117022
  • Facility Name: WALMART PHARMACY (6931)
  • Facility Address: 4840 OUTER LOOP
    LOUISVILLE, KY
    ZIP 40219
  • Facility Phone: 502 313-6350
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PAIGE N. GORAL
  • NPI Number: 1568910875
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 18D2117022
LAB Type Pharmacy
Facility Name WALMART PHARMACY (6931)
Street 4840 OUTER LOOP
City LOUISVILLE
State KY
ZIP 40219
Phone 502 313-6350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Pharmacy
Lab Director MS. PAIGE N. GORAL

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