18D2131081 CLIA NUMBER - WALMART PHARMACY 10-0702

Laboratory Demographics

  • CLIA Code: 18D2131081
  • Facility Name: WALMART PHARMACY 10-0702
  • Facility Address: 1859 BYPASS ROAD
    WINCHESTER, KY
    ZIP 40391
  • Facility Phone: (859) 744-6055
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JOSHUA T. GRINSTEAD
  • NPI Number: 1295598761
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 18D2131081
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0702
Street 1859 BYPASS ROAD
City WINCHESTER
State KY
ZIP 40391
Phone 8597446055
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 MR. JOSHUA T. GRINSTEAD

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