18D2130962 CLIA NUMBER - WALMART PHARMACY 10-0431

Laboratory Demographics

  • CLIA Code: 18D2130962
  • Facility Name: WALMART PHARMACY 10-0431
  • Facility Address: 3220 IRVIN COBB DR
    PADUCAH, KY
    ZIP 42003
  • Facility Phone: (270) 442-6404
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JENNIFER L. GROVE

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CLIA Record

Field Name Field Value
CLIA Number 18D2130962
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0431
Street 3220 IRVIN COBB DR
City PADUCAH
State KY
ZIP 42003
Phone 2704426404
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. JENNIFER L. GROVE

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This page was last updated on: 5/18/2026