CLIA lab

CLIA 18D2143184: Walmart Pharmacy Store 1190

Berea, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 18D2143184 belongs to Walmart Pharmacy Store 1190 in Berea, KY.

Certificate of Waiver, effective January 25, 2026, expires January 24, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 25, 2026
Certificate expiration
January 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 25, 2018
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
18D2143184
Lab name
Walmart Pharmacy Store 1190
Address
120 Jill Drive, Berea, KY 40403
Phone
(859) 986-3113
Fax
(859) 986-3733

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Walmart Pharmacy Store 1190 in Berea?

18D2143184, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy Store 1190 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 18D2143184 expire?

The CMS file lists January 24, 2028 as the certificate expiration date; the certificate took effect January 25, 2026.

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