18D2143193 CLIA NUMBER - WAL-MART PHARMACY STORE 711

Laboratory Demographics

  • CLIA Code: 18D2143193
  • Facility Name: WAL-MART PHARMACY STORE 711
  • Facility Address: 2345 HAPPY VALLEY ROAD
    GLASGOW, KY
    ZIP 42141
  • Facility Phone: 270 678-7350
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JEFF F. ROWLAND
  • NPI Number: 1801813225
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2143193
LAB Type Pharmacy
Facility Name WAL-MART PHARMACY STORE 711
Street 2345 HAPPY VALLEY ROAD
City GLASGOW
State KY
ZIP 42141
Phone 270 678-7350
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 MR. JEFF F. ROWLAND

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