18D2131081 CLIA NUMBER - WALMART PHARMACY 10-0702

Laboratory Demographics

CLIA Number: 18D2131081

Facility Name: WALMART PHARMACY 10-0702

Facility Address:
1859 BYPASS ROAD
WINCHESTER, KY
ZIP 40391
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Facility Phone Number: 859 744-6055

Facility Type: Pharmacy

Certificate Type: Waiver

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 859 744-6055
CertificateType 4
CertificateEffectiveDate 5/23/2023
CertificateExpirationDate 5/22/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024