19D2100505 CLIA NUMBER - WALMART PHARMACY 10-5125

Laboratory Demographics

  • CLIA Code: 19D2100505
  • Facility Name: WALMART PHARMACY 10-5125
  • Facility Address: 2310 SOUTH UNION STREET
    OPELOUSAS, LA
    ZIP 70570
  • Facility Phone: 337 594-6031
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TONYA FRANKLIN
  • NPI Number: 1164894598
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2100505
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5125
Street 2310 SOUTH UNION STREET
City OPELOUSAS
State LA
ZIP 70570
Phone 337 594-6031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Pharmacy
Lab Director TONYA FRANKLIN

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