18D2131083 CLIA NUMBER - WALMART PHARMACY 10-0739

Laboratory Demographics

  • CLIA Code: 18D2131083
  • Facility Name: WALMART PHARMACY 10-0739
  • Facility Address: 1255 N 12TH STREET
    MIDDLESBORO, KY
    ZIP 40965
  • Facility Phone: 606 248-6288
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. BETH A. MCCONNELL
  • NPI Number: 1154344216
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2131083
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0739
Street 1255 N 12TH STREET
City MIDDLESBORO
State KY
ZIP 40965
Phone 606 248-6288
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. BETH A. MCCONNELL

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