18D2131090 CLIA NUMBER - WALMART PHARMACY 1234

Laboratory Demographics

  • CLIA Code: 18D2131090
  • Facility Name: WALMART PHARMACY 1234
  • Facility Address: 175 WALMART PLAZA DR
    MONTICELLO, KY
    ZIP 42633
  • Facility Phone: 606 348-3333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. HAYLEE BRUMLEY
  • NPI Number: 1467479782
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2131090
LAB Type Pharmacy
Facility Name WALMART PHARMACY 1234
Street 175 WALMART PLAZA DR
City MONTICELLO
State KY
ZIP 42633
Phone 606 348-3333
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. HAYLEE BRUMLEY

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