19D2129674 CLIA NUMBER - WALMART PHARMACY 10-3703

Laboratory Demographics

  • CLIA Code: 19D2129674
  • Facility Name: WALMART PHARMACY 10-3703
  • Facility Address: 3520 WILLIAMS BLVD
    KENNER, LA
    ZIP 70065
  • Facility Phone: 504 466-6848
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERTO CALDERA
  • NPI Number: 1427077403
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2129674
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3703
Street 3520 WILLIAMS BLVD
City KENNER
State LA
ZIP 70065
Phone 504 466-6848
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 ROBERTO CALDERA

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