18D2143177 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-825

Laboratory Demographics

  • CLIA Code: 18D2143177
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-825
  • Facility Address: 1283 US HIGHWAY 27 N
    STANFORD, KY
    ZIP 40484
  • Facility Phone: 606 365-3535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. RENEE CHIU
  • NPI Number: 1629095955
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2143177
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-825
Street 1283 US HIGHWAY 27 N
City STANFORD
State KY
ZIP 40484
Phone 606 365-3535
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. RENEE CHIU

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