18D2144356 CLIA NUMBER - WALMART PHARMACY 10-1139

Laboratory Demographics

  • CLIA Code: 18D2144356
  • Facility Name: WALMART PHARMACY 10-1139
  • Facility Address: 200 WALMART WAY
    MOREHEAD, KY
    ZIP 40351
  • Facility Phone: 606 784-3266
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. MATTHEW P. CROUCH
  • NPI Number: 1164449484
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2144356
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1139
Street 200 WALMART WAY
City MOREHEAD
State KY
ZIP 40351
Phone 606 784-3266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Pharmacy
Lab Director MR. MATTHEW P. CROUCH

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