19D2096792 CLIA NUMBER - WALMART PHARMACY 10-7262

Laboratory Demographics

  • CLIA Code: 19D2096792
  • Facility Name: WALMART PHARMACY 10-7262
  • Facility Address: 11550 COURSEY BLVD
    BATON ROUGE, LA
    ZIP 70816
  • Facility Phone: 225 421-3065
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAMELA G. REED
  • NPI Number: 1093193252
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2096792
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7262
Street 11550 COURSEY BLVD
City BATON ROUGE
State LA
ZIP 70816
Phone 225 421-3065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Pharmacy
Lab Director PAMELA G. REED

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