18D2138749 CLIA NUMBER - WALMART PHARMACY 10-7290

Laboratory Demographics

  • CLIA Code: 18D2138749
  • Facility Name: WALMART PHARMACY 10-7290
  • Facility Address: 6501 VETERANS MEMORIAL PARKWAY
    CRESTWOOD, KY
    ZIP 40014
  • Facility Phone: 502 241-3959
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. TRACY L. MCWHIRTER
  • NPI Number: 1710343611
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2138749
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7290
Street 6501 VETERANS MEMORIAL PARKWAY
City CRESTWOOD
State KY
ZIP 40014
Phone 502 241-3959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Pharmacy
Lab Director MS. TRACY L. MCWHIRTER

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