Healther Providers Data Logo

18D2131128 CLIA NUMBER - WALMART PHARMACY 10-2638

Laboratory Demographics

CLIA Number: 18D2131128

Facility Name: WALMART PHARMACY 10-2638

Facility Address:
12504 US ROUTE 60
ASHLAND, KY
ZIP 41102
Get Directions

Facility Phone Number: 606 929-9360

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1295753770

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 18D2131128
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2638
Street 12504 US ROUTE 60
City ASHLAND
State KY
ZIP 41102
Phone 606 929-9360
CertificateType 4
CertificateEffectiveDate 5/23/2023
CertificateExpirationDate 5/22/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024