18D2144513 CLIA NUMBER - WALMART PHARMACY #10729

Laboratory Demographics

  • CLIA Code: 18D2144513
  • Facility Name: WALMART PHARMACY #10729
  • Facility Address: 3795 E JOHN ROWAN BLVD
    BARDSTOWN, KY
    ZIP 40004
  • Facility Phone: 502 349-6044
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. KIRSTEN C. WILSON
  • NPI Number: 1275550592
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2144513
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10729
Street 3795 E JOHN ROWAN BLVD
City BARDSTOWN
State KY
ZIP 40004
Phone 502 349-6044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Pharmacy
Lab Director MS. KIRSTEN C. WILSON

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