19D2098080 CLIA NUMBER - WALMART PHARMACY 10-4577

Home > CLIA Lookup > 19D2098080

Laboratory Demographics

CLIA Number: 19D2098080

Facility Name: WALMART PHARMACY 10-4577

Facility Address:
321 WEST CALIFORNIA AVE
RUSTON, LA
ZIP 71270
Get Directions

Facility Phone Number: 318 497-6232

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518984855

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	19D2098080
LAB Type	Physician Office
Facility Name	WALMART PHARMACY 10-4577
Street	321 WEST CALIFORNIA AVE
City	RUSTON
State	LA
ZIP	71270
Phone	318 497-6232
CertificateType	4
CertificateEffectiveDate	6/30/2023
CertificateExpirationDate	6/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024