19D2129641 CLIA NUMBER - WALMART PHARMACY 10-3167

Laboratory Demographics

  • CLIA Code: 19D2129641
  • Facility Name: WALMART PHARMACY 10-3167
  • Facility Address: 4301 CHEF MENTEUR HIGHWAY
    NEW ORLEANS, LA
    ZIP 70126
  • Facility Phone: 504 434-6078
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY T. NGUYEN
  • NPI Number: 1235543091
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2129641
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3167
Street 4301 CHEF MENTEUR HIGHWAY
City NEW ORLEANS
State LA
ZIP 70126
Phone 504 434-6078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Pharmacy
Lab Director TIFFANY T. NGUYEN

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