18D2132202 CLIA NUMBER - WALMART PHARMACY 10-491

Laboratory Demographics

  • CLIA Code: 18D2132202
  • Facility Name: WALMART PHARMACY 10-491
  • Facility Address: 5130 HINKLEVILLE RD
    PADUCAH, KY
    ZIP 42001
  • Facility Phone: 270 444-0046
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. BOBBIE J. CHAMBERS
  • NPI Number: 1285651604
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2132202
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-491
Street 5130 HINKLEVILLE RD
City PADUCAH
State KY
ZIP 42001
Phone 270 444-0046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Pharmacy
Lab Director MS. BOBBIE J. CHAMBERS

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