18D2131089 CLIA NUMBER - WALMART PHARMACY 10-1233

Laboratory Demographics

  • CLIA Code: 18D2131089
  • Facility Name: WALMART PHARMACY 10-1233
  • Facility Address: 470 NORTH MAYO TRAIL
    PAINTSVILLE, KY
    ZIP 41240
  • Facility Phone: (606) 789-8925
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JASON JONES
  • NPI Number: 1629095047
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2131089
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1233
Street 470 NORTH MAYO TRAIL
City PAINTSVILLE
State KY
ZIP 41240
Phone 6067898925
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. JASON JONES

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