18D2131087 CLIA NUMBER - WALMART PHARMACY 10-1210

Laboratory Demographics

  • CLIA Code: 18D2131087
  • Facility Name: WALMART PHARMACY 10-1210
  • Facility Address: 1024 NORTH MAIN STREET
    NICHOLASVILLE, KY
    ZIP 40356
  • Facility Phone: 859 885-9490
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JAMES T. THOMPSON
  • NPI Number: 1710904040
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2131087
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1210
Street 1024 NORTH MAIN STREET
City NICHOLASVILLE
State KY
ZIP 40356
Phone 859 885-9490
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. JAMES T. THOMPSON

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