18D2121144 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARAMACY #10-692

Laboratory Demographics

  • CLIA Code: 18D2121144
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARAMACY #10-692
  • Facility Address: 100 WALTON DRIVE
    DANVILLE, KY
    ZIP 40422
  • Facility Phone: 859 236-2411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. DEANNA L. CONNER
  • NPI Number: 1447277769
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2121144
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARAMACY #10-692
Street 100 WALTON DRIVE
City DANVILLE
State KY
ZIP 40422
Phone 859 236-2411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Pharmacy
Lab Director MS. DEANNA L. CONNER

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