19D2122982 CLIA NUMBER - WALMART PHARMACY 10-0310

Laboratory Demographics

  • CLIA Code: 19D2122982
  • Facility Name: WALMART PHARMACY 10-0310
  • Facility Address: 729 ODD FELLOWS ROAD
    CROWLEY, LA
    ZIP 70526
  • Facility Phone: 337 783-2150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SON HOANG
  • NPI Number: 1235685918
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2122982
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0310
Street 729 ODD FELLOWS ROAD
City CROWLEY
State LA
ZIP 70526
Phone 337 783-2150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Pharmacy
Lab Director SON HOANG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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