19D2113306 CLIA NUMBER - WALMART PHARMACY 10-5773

Laboratory Demographics

  • CLIA Code: 19D2113306
  • Facility Name: WALMART PHARMACY 10-5773
  • Facility Address: 1201 PARKVIEW DRIVE
    NEW IBERIA, LA
    ZIP 70563
  • Facility Phone: 479 258-2243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA MCCARTY
  • NPI Number: 1487100061
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2113306
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5773
Street 1201 PARKVIEW DRIVE
City NEW IBERIA
State LA
ZIP 70563
Phone 479 258-2243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Pharmacy
Lab Director ALEXANDRA MCCARTY

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