18D2143184 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-1190

Laboratory Demographics

  • CLIA Code: 18D2143184
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-1190
  • Facility Address: 120 JILL DR
    BEREA, KY
    ZIP 40403
  • Facility Phone: (479) 277-1039
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. CASEY COLBERT
  • NPI Number: 1356368674
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2143184
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-1190
Street 120 JILL DR
City BEREA
State KY
ZIP 40403
Phone 4792771039
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 MS. CASEY COLBERT

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