18D2130964 CLIA NUMBER - WALMART PHARMACY 10-0653

Laboratory Demographics

  • CLIA Code: 18D2130964
  • Facility Name: WALMART PHARMACY 10-0653
  • Facility Address: 300 CLINIC DRIVE
    HOPKINSVILLE, KY
    ZIP 42240
  • Facility Phone: 270 886-9916
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MELISSA M. WILSON
  • NPI Number: 1083631311
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2130964
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0653
Street 300 CLINIC DRIVE
City HOPKINSVILLE
State KY
ZIP 42240
Phone 270 886-9916
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. MELISSA M. WILSON

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