18D2132203 CLIA NUMBER - WALMART PHARMACY 10-410

Laboratory Demographics

  • CLIA Code: 18D2132203
  • Facility Name: WALMART PHARMACY 10-410
  • Facility Address: 809 NORTH 12TH ST
    MURRAY, KY
    ZIP 42071
  • Facility Phone: 270 753-0287
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MERIDITH L. RASPBERRY
  • NPI Number: 1548287964
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2132203
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-410
Street 809 NORTH 12TH ST
City MURRAY
State KY
ZIP 42071
Phone 270 753-0287
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. MERIDITH L. RASPBERRY

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