18D2131128 CLIA NUMBER - WALMART PHARMACY 10-2638

Laboratory Demographics

  • CLIA Code: 18D2131128
  • Facility Name: WALMART PHARMACY 10-2638
  • Facility Address: 12504 US RT 60
    ASHLAND, KY
    ZIP 41102
  • Facility Phone: 606 929-9360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. AMANDA M. JENKINS
  • NPI Number: 1295753770
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2131128
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2638
Street 12504 US RT 60
City ASHLAND
State KY
ZIP 41102
Phone 606 929-9360
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. AMANDA M. JENKINS

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