19D2129653 CLIA NUMBER - WALMART PHARMACY 10-244

Laboratory Demographics

  • CLIA Code: 19D2129653
  • Facility Name: WALMART PHARMACY 10-244
  • Facility Address: 5940 HIGHWAY 167 N
    WINNFIELD, LA
    ZIP 71483
  • Facility Phone: 318 628-4690
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAYTON ANDERSON
  • NPI Number: 1437176708
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2129653
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-244
Street 5940 HIGHWAY 167 N
City WINNFIELD
State LA
ZIP 71483
Phone 318 628-4690
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 PAYTON ANDERSON

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