18D2130318 CLIA NUMBER - WALMART PHARMACY 10-4461

Laboratory Demographics

  • CLIA Code: 18D2130318
  • Facility Name: WALMART PHARMACY 10-4461
  • Facility Address: 275 WALTON DRIVE
    LOUISA, KY
    ZIP 41230
  • Facility Phone: 606 673-4912
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. BROOKE GOLDEN
  • NPI Number: 1033318522
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2130318
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4461
Street 275 WALTON DRIVE
City LOUISA
State KY
ZIP 41230
Phone 606 673-4912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Pharmacy
Lab Director MS. BROOKE GOLDEN

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