19D2129658 CLIA NUMBER - WALMART PHARMACY 10-1169

Laboratory Demographics

  • CLIA Code: 19D2129658
  • Facility Name: WALMART PHARMACY 10-1169
  • Facility Address: 1920 S ARKANSA ST
    SPRINGHILL, LA
    ZIP 71075
  • Facility Phone: 318 539-3500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHY A. MORGAN
  • NPI Number: 1063439313
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2129658
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1169
Street 1920 S ARKANSA ST
City SPRINGHILL
State LA
ZIP 71075
Phone 318 539-3500
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 CATHY A. MORGAN

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