19D2103938 CLIA NUMBER - WALMART PHARMACY 10-7233

Laboratory Demographics

  • CLIA Code: 19D2103938
  • Facility Name: WALMART PHARMACY 10-7233
  • Facility Address: 11825 HOOPER ROAD
    BATON ROUGE, LA
    ZIP 70818
  • Facility Phone: 225 923-6038
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN C. DAVID
  • NPI Number: 1932570587
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2103938
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7233
Street 11825 HOOPER ROAD
City BATON ROUGE
State LA
ZIP 70818
Phone 225 923-6038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Pharmacy
Lab Director RYAN C. DAVID

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