18D2132203 CLIA NUMBER - WALMART PHARMACY 10-410

Laboratory Demographics

CLIA Number: 18D2132203

Facility Name: WALMART PHARMACY 10-410

Facility Address:
809 NORTH 12TH ST
MURRAY, KY
ZIP 42071
Get Directions

Facility Phone Number: 270 753-0287

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548287964

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	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
CertificateType	4
CertificateEffectiveDate	6/14/2023
CertificateExpirationDate	6/13/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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