18D2143185 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2967

Laboratory Demographics

  • CLIA Code: 18D2143185
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2967
  • Facility Address: 3450 VALLEY PLAZA PKWY
    FT WRIGHT, KY
    ZIP 41017
  • Facility Phone: (859) 341-3714
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. STEPHEN CUMMINGS
  • NPI Number: 1972520203
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2143185
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2967
Street 3450 VALLEY PLAZA PKWY
City FT WRIGHT
State KY
ZIP 41017
Phone 8593413714
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. STEPHEN CUMMINGS

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