18D2130958 CLIA NUMBER - WALMART PHARMACY

Laboratory Demographics

  • CLIA Code: 18D2130958
  • Facility Name: WALMART PHARMACY
  • Facility Address: 1725 WEST EVERELY BROTHERS BLVD
    CENTRAL CITY, KY
    ZIP 42330
  • Facility Phone: 270 754-3924
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. HEATHER R. JOHNSON
  • NPI Number: 1720005143
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2130958
LAB Type Pharmacy
Facility Name WALMART PHARMACY
Street 1725 WEST EVERELY BROTHERS BLVD
City CENTRAL CITY
State KY
ZIP 42330
Phone 270 754-3924
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director MS. HEATHER R. JOHNSON

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