18D2131132 CLIA NUMBER - WALMART PHARMACY 10-5236

Laboratory Demographics

  • CLIA Code: 18D2131132
  • Facility Name: WALMART PHARMACY 10-5236
  • Facility Address: 1201 MORGANTOWN ROAD
    BOWLING GREEN, KY
    ZIP 42101
  • Facility Phone: 270 780-9331
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID M. SONA
  • NPI Number: 1699792929
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2131132
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5236
Street 1201 MORGANTOWN ROAD
City BOWLING GREEN
State KY
ZIP 42101
Phone 270 780-9331
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 DAVID M. SONA

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