18D2143168 CLIA NUMBER - WALMART PHARMACY #10-1743

Laboratory Demographics

  • CLIA Code: 18D2143168
  • Facility Name: WALMART PHARMACY #10-1743
  • Facility Address: 201 WALDON RD
    HARLAN, KY
    ZIP 40831
  • Facility Phone: 606 573-9650
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. REBECCA L. COPE
  • NPI Number: 1063430536
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2143168
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1743
Street 201 WALDON RD
City HARLAN
State KY
ZIP 40831
Phone 606 573-9650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Pharmacy
Lab Director MS. REBECCA L. COPE

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