18D2144985 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-526

Laboratory Demographics

  • CLIA Code: 18D2144985
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-526
  • Facility Address: 3706 DIANN MARIE ROAD
    LOUISVILLE, KY
    ZIP 40241
  • Facility Phone: 502 326-0805
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLIVIA HART
  • NPI Number: 1487672960
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2144985
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-526
Street 3706 DIANN MARIE ROAD
City LOUISVILLE
State KY
ZIP 40241
Phone 502 326-0805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Pharmacy
Lab Director OLIVIA HART

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