18D2141028 CLIA NUMBER - WALMART PHARMACY STORE 10-1170

Laboratory Demographics

  • CLIA Code: 18D2141028
  • Facility Name: WALMART PHARMACY STORE 10-1170
  • Facility Address: 10445 DIXIE HWY
    LOUISVILLE, KY
    ZIP 40272
  • Facility Phone: 502 935-3265
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JOHN T. WRIGHT
  • NPI Number: 1184641508
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2141028
LAB Type Pharmacy
Facility Name WALMART PHARMACY STORE 10-1170
Street 10445 DIXIE HWY
City LOUISVILLE
State KY
ZIP 40272
Phone 502 935-3265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Pharmacy
Lab Director MR. JOHN T. WRIGHT

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