18D2131073 CLIA NUMBER - WALMART 665

Laboratory Demographics

  • CLIA Code: 18D2131073
  • Facility Name: WALMART 665
  • Facility Address: 725 CAMPBELLSVILLE BYP
    CAMPBELLSVILLE, KY
    ZIP 42718
  • Facility Phone: 270 789-0734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. ALAINA N. IMUS
  • NPI Number: 1811914138
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2131073
LAB Type Pharmacy
Facility Name WALMART 665
Street 725 CAMPBELLSVILLE BYP
City CAMPBELLSVILLE
State KY
ZIP 42718
Phone 270 789-0734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Pharmacy
Lab Director MS. ALAINA N. IMUS

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