18D2143180 CLIA NUMBER - WAL-MART PHARMACY #10-0445

Laboratory Demographics

  • CLIA Code: 18D2143180
  • Facility Name: WAL-MART PHARMACY #10-0445
  • Facility Address: 1801 ELIZABETHTOWN RD
    LEITCHFIELD, KY
    ZIP 42754
  • Facility Phone: (270) 259-9384
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JENNY D. WRIGHT
  • NPI Number: 1801813126
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2143180
LAB Type Pharmacy
Facility Name WAL-MART PHARMACY #10-0445
Street 1801 ELIZABETHTOWN RD
City LEITCHFIELD
State KY
ZIP 42754
Phone 2702599384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2026
Certificate Expiration Date 1/24/2028
Facility Type Pharmacy
Lab Director MR. JENNY D. WRIGHT

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This page was last updated on: 5/18/2026