18D2131127 CLIA NUMBER - WALMART PHARMACY 10-2548

Laboratory Demographics

  • CLIA Code: 18D2131127
  • Facility Name: WALMART PHARMACY 10-2548
  • Facility Address: 28402 US HIGHWAY 119 N
    SOUTH WILLIAMSON, KY
    ZIP 41503
  • Facility Phone: 606 237-4443
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JOSHUA D. BOSTIC
  • NPI Number: 1356427504
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 18D2131127
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2548
Street 28402 US HIGHWAY 119 N
City SOUTH WILLIAMSON
State KY
ZIP 41503
Phone 606 237-4443
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. JOSHUA D. BOSTIC

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