19D2123228 CLIA NUMBER - WALMART PHARMACY 10-7301

Laboratory Demographics

  • CLIA Code: 19D2123228
  • Facility Name: WALMART PHARMACY 10-7301
  • Facility Address: 3810 NE EVANGELINE THRUWAY
    CARENCRO, LA
    ZIP 70520
  • Facility Phone: 479 258-2243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANG T. LUONG
  • NPI Number: 1659819092
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 19D2123228
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7301
Street 3810 NE EVANGELINE THRUWAY
City CARENCRO
State LA
ZIP 70520
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 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Pharmacy
Lab Director HANG T. LUONG

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